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Fosnetupitant and Palonosetron Injection

Iowa 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?

$575

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $603 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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$575$525 to $794
FacilityA hospital or hospital-owned outpatient department$603$525 to $794

How much rates vary

Facilitymedian $603 · 10th to 90th $525 to $1,000Professionalmedian $575 · 10th to 90th $525 to $1,148
$1K$2Kfacility $603professional $575

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
$524.81
Median
$794.33
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$537.03
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$537.03
Typical High
$724.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,230.27
Typical High
$1,949.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$660.69
Typical High
$1,096.48
Medica
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$660.69
Typical High
$2,884.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$2,137.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$575.44
Typical High
$1,819.70
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$933.25
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$524.81
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$562.34
Typical High
$691.83
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$524.81
Typical High
$524.81

Where Iowa 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.

Iowa· 6th of 51

$575

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.