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Palifermin Injection

New Hampshire 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 New Hampshire, 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 $36.31 from a physician practice, and about $60.26 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
$36.31
At a hospital outpatient department
$60.26

The same drug, in the same amount, costs 66% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$36.31$36.31 to $41.69
FacilityA hospital or hospital-owned outpatient department$60.26$41.69 to $132

How much rates vary

Facilitymedian $60 · 10th to 90th $36 to $145Professionalmedian $36 · 10th to 90th $36 to $68
$50$100facility $60professional $36

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
$36.31
Median
$36.31
Typical High
$40.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$40.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$95.50
Typical High
$162.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$72.44
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$61.66
Typical High
$69.18
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$36.31
Typical High
$56.23

Where New Hampshire 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.

New Hampshire· 41st 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.