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Prochlorperazine, Oral

Illinois 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 $2 · 10th–90th $0$60%10%10th90th$2Professionalmedian $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
Setting
Facility
Modifier
Global
Typical Low
$0.43
Median
$2.14
Typical High
$6.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.33
Median
$0.34
Typical High
$0.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.17
Median
$2.69
Typical High
$8.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$0.83
Typical High
$0.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.49
Median
$0.65
Typical High
$0.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.35
Median
$0.35
Typical High
$0.41
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$0.81
Median
$1.10
Typical High
$1.45
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$0.95
Median
$1.29
Typical High
$1.29
United
Setting
Professional
Modifier
Global
Typical Low
$0.34
Median
$0.34
Typical High
$0.36