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Netupitant and Palonosetron, Oral

Oregon 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 Oregon, 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 $457 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$398$398 to $479
FacilityA hospital or hospital-owned outpatient department$457$398 to $708

How much rates vary

Facilitymedian $457 · 10th to 90th $380 to $832Professionalmedian $398 · 10th to 90th $398 to $550
$100$200$500$1Kfacility $457professional $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
$398.11
Median
$616.60
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$562.34
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$467.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$794.33
Typical High
$977.24
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$416.87
Typical High
$812.83
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$446.68
Typical High
$616.60
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$467.74
Typical High
$870.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$407.38
Typical High
$831.76
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$436.52
Typical High
$512.86
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$851.14
Typical High
$1,479.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$426.58

Where Oregon sits

Rates are fairly even across states for this service. 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.

Oregon· 11th of 51

$407

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.