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Florida 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 $6 · 10th–90th $1–$170%10%10th90th$6Professionalmedian $0 · 10th–90th $0–$10%50%10th90th$0$0.1$0.5$5.0$50.0$500.0$5.0K

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
$1.51 / $5.62 / $16.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.31 / $1.12
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $0.35
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.35 / $0.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.13 / $0.52 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $0.35
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $0.35
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.25 / $0.50 / $0.50
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $0.95 / $1.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.34 / $0.35
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.39 / $0.39