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Nationwide rates for HCPCS Q0164

Prochlorperazine maleate, 5 mg, oral, FDA-approved prescription antiemetic, for use as a complete therapeutic substitute for an IV antiemetic at the time of chemotherapy treatment, not to exceed a 48-hour dosage regimen

Facilitymedian $1 · 10th–90th $0–$80%10%20%10th90th$1Professionalmedian $0 · 10th–90th $0–$10%50%10th90th$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.95 / $3.31 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.31 / $1.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.36 / $0.51 / $0.85
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.33 / $0.39 / $0.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $0.65 / $1.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $0.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $1.02 / $1.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.34 / $0.48

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