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Ziconotide Injection

Tennessee rates for HCPCS J2278 · Prialt

Injection, ziconotide, 1 mcg

Rates data updated October 2026.

How much does Prialt (ziconotide acetate) cost?

$10.72per mcg

Typical physician fee. In Tennessee, October 2026.

Insurers have agreed to pay about $10.72 for each mcg of this drug. Most negotiated rates run $10.72 to $12.30.

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

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $13 · 10th to 90th $12 to $19Professionalmedian $11 · 10th to 90th $10 to $11
$10$20facility $13professional $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
$13.18
Typical High
$15.85
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$11.22
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$10.72
Typical High
$10.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$11.75
Median
$13.49
Typical High
$19.05
Cigna
Setting
Professional
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
$12.30

Where Tennessee 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.

Tennessee· 26th of 51

$10.72

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.