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New York 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–$40%10%20%10th90th$1Professionalmedian $0 · 10th–90th $0–$10%50%90th$0$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$0.78 / $1.70 / $3.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.72 / $1.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.34 / $0.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $0.62 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $0.35
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.42 / $0.55 / $1.51
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.47 / $0.50 / $0.58
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $0.51
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.51 / $0.51
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $0.46 / $0.89
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.52 / $0.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $0.85 / $0.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.36 / $1.48
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.06 / $0.35 / $0.51
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.51 / $0.51