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Oprelvekin Injection

Maine rates for HCPCS J2355

Injection, oprelvekin, 5 mg

Rates data updated July 2026.

How much does Oprelvekin Injection cost?

$447per 5 mg

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $447 for each 5 mg of this drug. The price depends on where it is billed: about $447 from a physician practice, and about $1,318 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
$447
At a hospital outpatient department
$1,318

The same drug, in the same amount, costs 195% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 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$447$447 to $468
FacilityA hospital or hospital-owned outpatient department$1,318$1,230 to $1,318

How much rates vary

Facilitymedian $1,318 · 10th to 90th $1,230 to $1,318Professionalmedian $447 · 10th to 90th $427 to $550
$500$1Kfacility $1,318professional $447

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
$1,230.27
Median
$1,318.26
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$446.68
Typical High
$446.68
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.03
Median
$416.87
Typical High
$524.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$426.58
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$549.54
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,318.26
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$446.68
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$524.81
Typical High
$758.58

Where Maine 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.

Maine· 23rd of 51

$447

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.