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Michigan rates for HCPCS Q0161

Chlorpromazine HCl, 5 mg, oral, FDA-approved prescription antiemetic, for use as a complete therapeutic substitute for an IV antiemetic at the time of chemotherapy treatment, not to exceed a 48-hour dosage regimen

Facilitymedian $0 · 10th–90th $0–$20%10%20%10th90th$0Professionalmedian $0 · 10th–90th $0–$20%20%10th90th$0$0.1$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $7.94 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.17 / $0.35
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $0.36 / $2.04
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $2.29 / $6.76
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.51 / $3.16
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $2.04 / $2.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $0.33 / $0.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.33 / $0.33 / $0.48