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Palifermin Injection

Montana rates for HCPCS J2425 · Kepivance

Injection, palifermin, 50 mcg

Rates data updated July 2026.

How much does Kepivance (palifermin) cost?

$36.31per 50 mcg

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $36.31 for each 50 mcg of this drug. The price depends on where it is billed: about $39.81 from a physician practice, and about $17.78 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 50 mcg. Enter the amount given to see what insurers have agreed to pay for it.

mcg
In a doctor's office or clinic
$39.81
At a hospital outpatient department
$17.78

The same drug, in the same amount, costs 55% less 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$39.81$17.78 to $44.67
FacilityA hospital or hospital-owned outpatient department$17.78$16.22 to $18.20

How much rates vary

Facilitymedian $18 · 10th to 90th $14 to $68Professionalmedian $40 · 10th to 90th $18 to $45
$20$50$100facility $18professional $40

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
Professional
Modifier
Global
Typical Low
$39.81
Median
$44.67
Typical High
$44.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$36.31
Typical High
$36.31
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$17.78
Typical High
$18.20
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$17.78
Typical High
$18.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$67.61
Providence
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$52.48
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31

Where Montana sits

The same service costs 2.3 times more in Alaska than in Oklahoma. 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.

Montana· 37th of 51

$36.31

AK $63.10OK $27.54

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.