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Fosnetupitant and Palonosetron Injection

Hawaii rates for HCPCS J1454 · Akynzeo

Injection, fosnetupitant 235 mg and palonosetron 0.25 mg

Rates data updated July 2026.

How much does Akynzeo (fosnetupitant and palonosetron) cost?

$525

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $525 for this service. Most negotiated rates run $525 to $692.

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.

How much rates vary

Professionalmedian $525 · 10th to 90th $525 to $692
$500$1Kprofessional $525

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
$524.81
Median
$524.81
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$676.08
HMSA
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$630.96
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$575.44
Typical High
$741.31

Where Hawaii sits

Rates are fairly even across states for this service. 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.

Hawaii· 44th of 51

$525

NY $708VA $525

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.