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Nebraska 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 $6 · 10th–90th $0–$390%10%20%10th90th$6Professionalmedian $0 · 10th–90th $0–$10%20%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
$0.54 / $6.46 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.45 / $0.68
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.24 / $0.30 / $0.32
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.31 / $0.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.38 / $0.68
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.04 / $21.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $33.88
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $0.41 / $0.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.58 / $0.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $2.14 / $3.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.03