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Iowa 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–$00%50%90th$0Professionalmedian $0 · 10th–90th $0–$10%50%10th90th$0$0.1$0.2$1.0$5.0$20.0$100.0

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
$1.23 / $1.23 / $1.32
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $1.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.41 / $0.52
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.98 / $1.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $0.37 / $0.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.33 / $0.35 / $41.69
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $0.48 / $0.81
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.08 / $0.41
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.23 / $1.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $0.78 / $1.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.34 / $0.37
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $0.35
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.35 / $0.35