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Prochlorperazine, Oral

Kentucky 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 $1 · 10th–90th $0$10%50%10th90th$1Professionalmedian $0 · 10th–90th $0$00%50%10th90th$0$0.1$0.5$5.0$50.0$500.0

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
$0.33
Median
$0.65
Typical High
$1.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.33
Median
$0.34
Typical High
$0.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.40
Median
$0.52
Typical High
$0.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.35
Median
$0.44
Typical High
$0.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$0.28
Median
$0.28
Typical High
$0.42
CareSource
Setting
Professional
Modifier
Global
Typical Low
$0.28
Median
$0.36
Typical High
$0.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.83
Median
$85.11
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.35
Median
$0.35
Typical High
$1.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$0.34
Median
$0.34
Typical High
$0.37