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Vermont 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 $1 · 10th–90th $1–$40%20%40%90th$1Professionalmedian $0 · 10th–90th $0–$00%20%40%10th90th$0$0.0$0.1$0.1$0.2$0.5$1.0$2.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $0.98 / $3.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.04 / $0.04
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.18 / $0.28 / $0.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.04
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.18 / $0.18 / $0.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.28