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Nebraska 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–$70%20%10th90th$1Professionalmedian $0 · 10th–90th $0–$10%50%10th90th$0$0.0$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
$6.61 / $7.08 / $14.45
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.38 / $0.47 / $0.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.47 / $0.48 / $0.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.41 / $0.56
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.30 / $0.45 / $0.76
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $41.69
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.52 / $0.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.41 / $0.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.14 / $0.95 / $2.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.34 / $0.51