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Netupitant and Palonosetron, Oral

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $490 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$407$398 to $479
FacilityA hospital or hospital-owned outpatient department$490$407 to $832

How much rates vary

Facilitymedian $490 · 10th to 90th $398 to $1,047Professionalmedian $407 · 10th to 90th $398 to $832
$500.0$1.0K$2.0Kfacility $490professional $407

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
$1,148.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$407.38
Typical High
$831.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$426.58
Typical High
$1,380.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$501.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$741.31
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$426.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$501.19
Typical High
$831.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$436.52
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$407.38
Typical High
$457.09

Where Missouri 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.

Missouri $407 · 14th 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.