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Fosnetupitant and Palonosetron Injection

Oklahoma 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?

$550

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $617 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 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$537$525 to $603
FacilityA hospital or hospital-owned outpatient department$617$525 to $794

How much rates vary

Facilitymedian $617 · 10th to 90th $427 to $1,023Professionalmedian $537 · 10th to 90th $525 to $708
$500$1K$2Kfacility $617professional $537

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
$562.34
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$741.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$630.96
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,380.38
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$660.69
Typical High
$1,000.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$645.65
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$549.54
Typical High
$645.65

Where Oklahoma 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.

Oklahoma· 11th of 51

$550

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.