go back

Fosnetupitant and Palonosetron Injection

Virginia 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 negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $676 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$525$525 to $575
FacilityA hospital or hospital-owned outpatient department$676$550 to $1,096

How much rates vary

Facilitymedian $676 · 10th to 90th $525 to $1,445Professionalmedian $525 · 10th to 90th $525 to $741
$500$1Kfacility $676professional $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
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,096.48
Typical High
$1,445.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$676.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$977.24
Typical High
$1,778.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$870.96
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,000.00
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$446.68
Typical High
$524.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$575.44
Typical High
$912.01
Medcost
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$758.58
Sentara
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$660.69
Typical High
$794.33
Sentara
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$660.69
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$645.65
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$575.44
Typical High
$645.65

Where Virginia 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.

Virginia· 51st 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.