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Missouri 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

Facilitymedian $1 · 10th–90th $0–$210%10%20%10th90th$1Professionalmedian $0 · 10th–90th $0–$00%20%40%10th90th$0$0.1$0.5$2.0$10.0$50.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.74 / $17.78 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.31 / $1.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.37 / $0.58 / $0.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.31 / $0.41
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.91 / $1.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.40 / $0.58 / $0.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $0.35
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $0.41 / $0.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.33 / $0.35 / $41.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.02 / $1.02 / $1.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.34 / $0.39