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Prochlorperazine, Oral

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

Rates data updated July 2026.

Facilitymedian $0 · 10th–90th $0$10%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
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$3.80
Typical High
$13.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.33
Median
$0.34
Typical High
$0.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.35
Median
$0.35
Typical High
$0.35
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$0.08
Median
$0.37
Typical High
$0.65
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.56
Median
$0.56
Typical High
$0.89
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.41
Median
$0.49
Typical High
$0.49
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.08
Median
$0.37
Typical High
$0.65
Providence
Setting
Professional
Modifier
Global
Typical Low
$0.35
Median
$0.35
Typical High
$0.62
United
Setting
Professional
Modifier
Global
Typical Low
$0.28
Median
$0.34
Typical High
$0.85