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Prochlorperazine, Oral

Louisiana 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$40%20%40%10th90th$1Professionalmedian $0 · 10th–90th $0$00%50%10th90th$0$0.1$0.2$1.0$5.0$20.0

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
$0.41
Median
$0.44
Typical High
$4.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.33
Median
$0.34
Typical High
$0.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.56
Median
$0.56
Typical High
$0.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.56
Median
$0.56
Typical High
$0.56
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.35
Median
$0.40
Typical High
$0.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.35
Median
$0.35
Typical High
$0.35
United
Setting
Facility
Modifier
Global
Typical Low
$0.66
Median
$0.78
Typical High
$0.95
United
Setting
Professional
Modifier
Global
Typical Low
$0.31
Median
$0.34
Typical High
$0.36