go back

New York 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.33 / $0.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.32 / $0.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.42
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.45
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.92 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.33
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.83 / $3.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $1.83
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $1.83 / $1.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $85.00 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.44
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.83 / $1.83
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $1.83 / $1.83