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Pentostatin Injection

New York rates for HCPCS J9268 · Nipent

Injection, pentostatin, 10 mg

Rates data updated July 2026.

How much does Nipent (pentostatin) cost?

$2,754per 10 mg

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $2,754 for each 10 mg of this drug. The price depends on where it is billed: about $2,754 from a physician practice, and about $3,388 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
$2,754
At a hospital outpatient department
$3,388

The same drug, in the same amount, costs 23% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 9 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$2,754$2,630 to $2,884
FacilityA hospital or hospital-owned outpatient department$3,388$2,630 to $4,365

How much rates vary

Facilitymedian $3,388 · 10th to 90th $2,630 to $5,754Professionalmedian $2,754 · 10th to 90th $2,512 to $3,020
$2K$5Kfacility $3,388professional $2,754

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
$2,630.27
Median
$3,715.35
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$3,019.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,754.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$2,041.74
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,467.37
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,818.38
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,235.94
Typical High
$8,912.51
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,818.38
Typical High
$2,818.38
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,691.53
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,691.53
Typical High
$2,691.53
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,754.23
Typical High
$3,090.30
Univera
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$3,090.30
Univera
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,691.53
Typical High
$2,691.53

Where New York 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.

New York· 3rd of 51

$2,754

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.