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Texas 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 $0 · 10th–90th $0–$10%50%90th$0Professionalmedian $0 · 10th–90th $0–$00%50%90th$0$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

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
$0.76 / $2.45 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.31 / $1.62
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.14 / $0.14 / $0.27
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.14 / $0.14
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $1.32 / $3.24
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $0.81 / $2.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $0.35
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.41 / $0.68
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.32 / $1.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $44.67 / $64.57
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.60 / $1.41
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.41 / $0.65
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $0.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.83 / $1.29 / $1.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.34 / $0.35
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.35 / $0.44