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New Hampshire 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 $1 · 10th–90th $0–$10%10%20%10th90th$1Professionalmedian $0 · 10th–90th $0–$10%50%10th90th$0$0.2$1.0$5.0$20.0

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
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.50 / $0.72 / $1.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $0.39
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.41 / $0.71 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $0.36 / $0.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $0.36 / $0.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.33 / $0.36 / $2.04
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.36 / $0.40 / $0.44