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Prochlorperazine, Oral

Georgia 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.

How much does Prochlorperazine, Oral cost?

$0.34

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $0.34 for this service. The price depends on where it is billed: about $0.34 from a physician practice, and about $1.82 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.34$0.34 to $0.39
FacilityA hospital or hospital-owned outpatient department$1.82$0.34 to $3.98

How much rates vary

Facilitymedian $2 · 10th to 90th $0 to $9Professionalmedian $0 · 10th to 90th $0 to $1
$0.1$1$10$100facility $2professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.34
Median
$3.02
Typical High
$8.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.33
Median
$0.34
Typical High
$0.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.34
Median
$1.70
Typical High
$1.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.34
Median
$0.74
Typical High
$0.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.35
Median
$0.40
Typical High
$0.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.35
Median
$0.35
Typical High
$0.35
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$0.13
Median
$0.35
Typical High
$0.91
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.23
Typical High
$1.45
United
Setting
Facility
Modifier
Global
Typical Low
$0.78
Median
$1.51
Typical High
$2.14
United
Setting
Professional
Modifier
Global
Typical Low
$0.34
Median
$0.34
Typical High
$0.45

Where Georgia sits

The same service costs 1.5 times more in Minnesota than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Georgia· 42nd of 51

$0.34

MN $0.50NE $0.33

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.