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Oprelvekin Injection

Pennsylvania 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 Pennsylvania, 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 $692 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
$692

The same drug, in the same amount, costs 55% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 7 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 $447
FacilityA hospital or hospital-owned outpatient department$692$513 to $1,122

How much rates vary

Facilitymedian $692 · 10th to 90th $447 to $1,318Professionalmedian $447 · 10th to 90th $447 to $589
$500$1K$2K$5Kfacility $692professional $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
$446.68
Median
$691.83
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$575.44
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$446.68
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$1,479.11
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$676.08
Typical High
$1,258.93
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$1,148.15
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$707.95
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$562.34
Typical High
$741.31

Where Pennsylvania 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.

Pennsylvania· 18th 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.