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Pennsylvania rates for HCPCS Q0162

Ondansetron 1 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 $4 · 10th–90th $1–$870%20%10th90th$4Professionalmedian $0 · 10th–90th $0–$40%10%20%10th90th$0$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$0.72 / $4.07 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.17 / $7.24
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $295.12 / $407.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $8,511.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.07 / $0.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.02
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.02
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.02
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.04 / $0.08
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.13 / $0.76 / $8.51
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $239.88 / $407.38
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.51 / $0.51 / $0.51
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.51
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $851.14 / $1,096.48
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.60
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $223.87
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $223.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $4.37 / $5.13