go back

Alaska 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 $0 · 10th–90th $0–$20%20%10th90th$0Professionalmedian $0 · 10th–90th $0–$10%50%10th90th$0$0.1$0.2$1.0$5.0$20.0

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
$1.95 / $3.80 / $9.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.02 / $1.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $0.35
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.42 / $0.85
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $60.26 / $60.26
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.56 / $0.89
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.49 / $0.49
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.37 / $0.65
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $0.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.34 / $0.85