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Diphenhydramine, Oral

Minnesota 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 $0 · 10th–90th $0$30%10%20%10th90th$0Professionalmedian $0 · 10th–90th $0$00%20%40%10th90th$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
$0.02
Typical High
$1.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.03
Median
$0.06
Typical High
$0.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.03
Typical High
$0.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.87
Median
$1.23
Typical High
$3.39
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.40
Typical High
$0.48
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$0.93
Median
$1.20
Typical High
$2.63
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$0.38
Median
$0.38
Typical High
$0.51
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.28
Typical High
$2.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.04