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Ziconotide Injection

Colorado rates for HCPCS J2278 · Prialt

Injection, ziconotide, 1 mcg

Rates data updated October 2026.

How much does Prialt (ziconotide acetate) cost?

$12.88per mcg

Typical negotiated rate. In Colorado, October 2026.

Insurers have agreed to pay about $12.88 for each mcg of this drug. The price depends on where it is billed: about $10.72 from a physician practice, and about $16.22 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per mcg. Enter the amount given to see what insurers have agreed to pay for it.

mcg
In a doctor's office or clinic
$10.72
At a hospital outpatient department
$16.22

The same drug, in the same amount, costs 51% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.72$10.72 to $10.72
FacilityA hospital or hospital-owned outpatient department$16.22$12.30 to $19.95

How much rates vary

Facilitymedian $16 · 10th to 90th $11 to $30Professionalmedian $11 · 10th to 90th $10 to $12
$10$20$50facility $16professional $11

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$20.89
Typical High
$44.67
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$20.89
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$11.48
Median
$17.78
Typical High
$30.90
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$10.96
Median
$12.30
Typical High
$14.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Denver HMP
Setting
Facility
Modifier
None
Typical Low
$8.32
Median
$10.72
Typical High
$15.49
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$8.13
Median
$11.75
Typical High
$21.38
Select Health
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$19.95
Typical High
$22.91
Select Health
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$7.59
Typical High
$10.72
United
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
United
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$10.47
Typical High
$10.47

Where Colorado sits

The same service costs 1.9 times more in Alaska than in Iowa. 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.

Colorado· 4th of 51

$12.88

AK $19.50IA $10.47

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.