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Netupitant and Palonosetron, Oral

Iowa rates for HCPCS J8655 · Akynzeo

Netupitant 300 mg and palonosetron 0.5 mg, oral

Rates data updated July 2026.

How much does Akynzeo (netupitant and palonosetron) cost?

$437

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $437 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $437 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$427$398 to $832
FacilityA hospital or hospital-owned outpatient department$437$437 to $832

How much rates vary

Facilitymedian $437 · 10th to 90th $407 to $832Professionalmedian $427 · 10th to 90th $398 to $851
$1.0$10.0$100.0$1.0Kfacility $437professional $427

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
$398.11
Median
$831.76
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$407.38
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$407.38
Typical High
$512.86
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$1,174.90
Typical High
$1,905.46
Medica
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$467.74
Typical High
$831.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$457.09
Typical High
$1,949.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$489.78
Typical High
$1,949.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$707.95
Typical High
$954.99
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$676.08
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$398.11
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$398.11
Typical High
$457.09
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$436.52
Typical High
$436.52

Where Iowa sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $437 · 1st of 51
IA $437CO $398

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.