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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.

How much does Prochlorperazine, Oral cost?

$0.36

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $0.36 for this service. The price depends on where it is billed: about $0.35 from a physician practice, and about $0.52 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$0.35$0.33 to $0.44
FacilityA hospital or hospital-owned outpatient department$0.52$0.50 to $0.52

How much rates vary

Facilitymedian $1 · 10th to 90th $0 to $1Professionalmedian $0 · 10th to 90th $0 to $0
$0.1$1$10facility $1professional $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
$0.33
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

Where Kentucky 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.

Kentucky· 3rd of 51

$0.36

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.