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Wyoming 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 $3 · 10th–90th $1–$50%20%40%10th90th$3Professionalmedian $0 · 10th–90th $0–$50%50%90th$0$0.0$0.1$0.5$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.95 / $4.79 / $4.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.11 / $4.79 / $4.79
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.02