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Netupitant and Palonosetron, Oral

Michigan 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?

$407

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $794 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 6 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$398$398 to $407
FacilityA hospital or hospital-owned outpatient department$794$617 to $1,148

How much rates vary

Facilitymedian $794 · 10th to 90th $407 to $1,318Professionalmedian $398 · 10th to 90th $389 to $447
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $794professional $398

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
$407.38
Median
$794.33
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$446.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$891.25
Typical High
$1,737.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$407.38
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$398.11
Typical High
$398.11
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$954.99
Typical High
$1,288.25
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$389.05
Typical High
$501.19
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$416.87
Typical High
$467.74

Where Michigan 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.

Michigan $407 · 8th 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.