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Pentostatin Injection

Michigan rates for HCPCS J9268 · Nipent

Injection, pentostatin, 10 mg

Rates data updated July 2026.

How much does Nipent (pentostatin) cost?

$2,630per 10 mg

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $2,630 for each 10 mg of this drug. The price depends on where it is billed: about $2,630 from a physician practice, and about $5,129 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 10 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$2,630
At a hospital outpatient department
$5,129

The same drug, in the same amount, costs 95% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 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$2,630$2,630 to $2,692
FacilityA hospital or hospital-owned outpatient department$5,129$3,548 to $7,586

How much rates vary

Facilitymedian $5,129 · 10th to 90th $2,630 to $8,511Professionalmedian $2,630 · 10th to 90th $2,570 to $2,884
$100$500$2K$10Kfacility $5,129professional $2,630

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
$75.86
Median
$4,786.30
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,884.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$5,888.44
Typical High
$11,481.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,691.53
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,630.27
Typical High
$2,630.27
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,309.57
Typical High
$8,511.38
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,570.40
Typical High
$3,388.44
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,691.53
Typical High
$3,090.30

Where Michigan 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.

Michigan· 16th of 51

$2,630

IA $2,884VA $2,630

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.