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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

Facilitymedian $0 · 10th–90th $0–$20%20%10th90th$0Professionalmedian $0 · 10th–90th $0–$00%50%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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.95 / $2.14 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.45 / $1.86
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.06 / $0.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.03 / $0.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.87 / $1.26 / $1.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.40 / $0.48
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $1.20 / $1.41
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.38 / $0.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.28 / $2.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.04