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Prochlorperazine, Oral

Idaho 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$60%20%10th90th$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
Setting
Facility
Modifier
Global
Typical Low
$0.35
Median
$5.62
Typical High
$6.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.28
Median
$0.34
Typical High
$0.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.05
Median
$0.06
Typical High
$2.45
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.50
Median
$0.50
Typical High
$0.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.39
Median
$0.40
Typical High
$0.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.35
Median
$0.35
Typical High
$0.35
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$0.36
Typical High
$0.60
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$0.06
Median
$0.30
Typical High
$0.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$0.27
Median
$30.20
Typical High
$30.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$0.50
Median
$0.50
Typical High
$0.50
Select Health
Setting
Facility
Modifier
Global
Typical Low
$0.17
Median
$0.20
Typical High
$2.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$0.23
Median
$0.52
Typical High
$0.52
United
Setting
Professional
Modifier
Global
Typical Low
$0.34
Median
$0.34
Typical High
$0.34