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Diphenhydramine, Oral

Maine rates for HCPCS Q0163

Diphenhydramine HCl, 50 mg, oral, FDA-approved prescription antiemetic, for use as a complete therapeutic substitute for an IV antiemetic at time of chemotherapy treatment not to exceed a 48-hour dosage regimen

Rates data updated July 2026.

Facilitymedian $3 · 10th–90th $0$280%20%40%10th90th$3Professionalmedian $0 · 10th–90th $0$00%50%10th$0$0.0$0.1$0.5$2.0$10.0$50.0

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
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$2.51
Typical High
$27.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$0.06
Typical High
$0.06
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.06
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$0.28
Median
$0.28
Typical High
$0.28
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$2.51
Typical High
$27.54
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
United
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.05
Typical High
$0.28