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Diphenhydramine, Oral

Montana 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 $1 · 10th–90th $0$30%20%10th90th$1Professionalmedian $0 · 10th–90th $0$00%50%90th$0$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

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
$0.13
Median
$3.24
Typical High
$6.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.04
Median
$0.41
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.52
Median
$0.62
Typical High
$2.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.52
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.56
Typical High
$0.58
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.56
Typical High
$0.58
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.07
Typical High
$0.62
Providence
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.03
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02