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Ohio 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
$0.31 / $0.85 / $1.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.73 / $2.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.44 / $0.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $59,702.01 / $59,702.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.33 / $0.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.33 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.39
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.67 / $85.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.37