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Oprelvekin Injection

Kentucky rates for HCPCS J2355

Injection, oprelvekin, 5 mg

Rates data updated July 2026.

How much does Oprelvekin Injection cost?

$501per 5 mg

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $501 for each 5 mg of this drug. The price depends on where it is billed: about $437 from a physician practice, and about $501 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 5 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$437
At a hospital outpatient department
$501

The same drug, in the same amount, costs 15% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$437$427 to $437
FacilityA hospital or hospital-owned outpatient department$501$479 to $501

How much rates vary

Facilitymedian $501 · 10th to 90th $295 to $501Professionalmedian $437 · 10th to 90th $427 to $661
$0.1$1$10$100$1Kfacility $501professional $437

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$660.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.03
Median
$501.19
Typical High
$501.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$436.52
Typical High
$436.52
CareSource
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$338.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$208.93
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$1,202.26
Typical High
$1,202.26
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$562.34
Typical High
$588.84

Where Kentucky sits

The same service costs 1.7 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Kentucky· 8th of 51

$501

AK $708NY $427

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.