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Diphenhydramine, Oral

Utah 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$40%50%90th$0Professionalmedian $0 · 10th–90th $0$00%50%90th$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
$3.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Molina
Setting
Professional
Modifier
Global
Typical Low
$0.25
Median
$0.33
Typical High
$44.67
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$0.05
Median
$0.05
Typical High
$0.07
Select Health
Setting
Facility
Modifier
Global
Typical Low
$0.03
Median
$0.03
Typical High
$0.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$0.03
Median
$0.03
Typical High
$0.04
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$0.13
Median
$0.16
Typical High
$0.18
United
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02