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Palifermin Injection

Ohio rates for HCPCS J2425 · Kepivance

Injection, palifermin, 50 mcg

Rates data updated July 2026.

How much does Kepivance (palifermin) cost?

$46.77per 50 mcg

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $46.77 for each 50 mcg of this drug. The price depends on where it is billed: about $38.02 from a physician practice, and about $74.13 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
$38.02
At a hospital outpatient department
$74.13

The same drug, in the same amount, costs 95% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 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$38.02$36.31 to $47.86
FacilityA hospital or hospital-owned outpatient department$74.13$42.66 to $91.20

How much rates vary

Facilitymedian $74 · 10th to 90th $36 to $107Professionalmedian $38 · 10th to 90th $36 to $79
$50$100$200facility $74professional $38

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
$79.43
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$37.15
Typical High
$79.43
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$69.18
Typical High
$190.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$42.66
Typical High
$64.57
CareSource
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
CareSource
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$72.44
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$44.67
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$72.44
Typical High
$107.15
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$45.71
Typical High
$53.70
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$61.66
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$39.81

Where Ohio 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.

Ohio· 7th of 51

$46.77

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.