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Fosnetupitant and Palonosetron Injection

Montana 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?

$589

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $759 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 6 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 $631
FacilityA hospital or hospital-owned outpatient department$759$631 to $933

How much rates vary

Facilitymedian $759 · 10th to 90th $550 to $1,622Professionalmedian $575 · 10th to 90th $525 to $832
$500$1K$2K$5K$10K$20K$50Kfacility $759professional $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
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,412.54
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$724.44
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$724.44
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$758.58
Typical High
$1,348.96
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$758.58
Typical High
$1,348.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$645.65
Typical High
$1,096.48
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$562.34
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$741.31

Where Montana 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.

Montana· 3rd of 51

$589

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.