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Ziconotide Injection

Idaho rates for HCPCS J2278 · Prialt

Injection, ziconotide, 1 mcg

Rates data updated October 2026.

How much does Prialt (ziconotide acetate) cost?

$12.30per mcg

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $12.30 for each mcg of this drug. The price depends on where it is billed: about $12.02 from a physician practice, and about $13.49 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
$12.02
At a hospital outpatient department
$13.49

The same drug, in the same amount, costs 12% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.02$10.72 to $13.49
FacilityA hospital or hospital-owned outpatient department$13.49$10.96 to $15.85

How much rates vary

Facilitymedian $13 · 10th to 90th $9 to $23Professionalmedian $12 · 10th to 90th $10 to $15
$10$20facility $13professional $12

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
Professional
Modifier
None
Typical Low
$10.72
Median
$13.49
Typical High
$13.49
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$7.94
Median
$13.18
Typical High
$22.91
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$17.38
Typical High
$17.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$11.75
Median
$12.30
Typical High
$27.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Moda Health
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$13.49
Typical High
$13.49
Moda Health
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$13.18
Typical High
$13.49
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$11.75
Median
$12.02
Typical High
$15.85
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$12.30
Typical High
$13.49
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$10.00
Median
$14.79
Typical High
$25.12
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Select Health
Setting
Facility
Modifier
None
Typical Low
$10.23
Median
$10.72
Typical High
$19.05
Select Health
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$15.49
United
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$10.47
Typical High
$16.60

Where Idaho 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.

Idaho· 7th of 51

$12.30

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.