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Ziconotide Injection

Virginia rates for HCPCS J2278 · Prialt

Injection, ziconotide, 1 mcg

Rates data updated July 2026.

How much does Prialt (ziconotide acetate) cost?

$10.96per mcg

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $10.96 for each mcg of this drug. The price depends on where it is billed: about $10.47 from a physician practice, and about $18.62 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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
$10.47
At a hospital outpatient department
$18.62

The same drug, in the same amount, costs 78% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.47$10.47 to $10.96
FacilityA hospital or hospital-owned outpatient department$18.62$10.47 to $26.30

How much rates vary

Facilitymedian $19 · 10th to 90th $10 to $29Professionalmedian $10 · 10th to 90th $10 to $16
$10$20facility $19professional $10

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
$10.47
Median
$21.88
Typical High
$28.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.96
Typical High
$12.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$20.89
Typical High
$35.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$17.38
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$15.85
Typical High
$23.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$19.95
Typical High
$26.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$10.47
Typical High
$14.45
Medcost
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
Medcost
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$12.30
Typical High
$14.13
Sentara
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$13.49
Typical High
$15.49
Sentara
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.49
Typical High
$15.49
United
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$12.88
Typical High
$22.39
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.47
Typical High
$13.18

Where Virginia sits

The same service costs 2.1 times more in Delaware than in New Hampshire. 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· 24th of 51

$10.96

DE $22.39NH $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.