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Prochlorperazine, Oral

Utah 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.

How much does Prochlorperazine, Oral cost?

$0.34

Typical physician fee. In Utah, July 2026.

Insurers have agreed to pay about $0.34 for this service. Most negotiated rates run $0.34 to $0.35.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2 · 10th to 90th $0 to $15Professionalmedian $0 · 10th to 90th $0 to $0
$0.2$0.5$1$2$5$10$20facility $2professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.34
Median
$2.00
Typical High
$15.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.33
Median
$0.34
Typical High
$0.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.35
Median
$0.35
Typical High
$0.35
Molina
Setting
Professional
Modifier
Global
Typical Low
$0.39
Median
$0.44
Typical High
$30.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$0.50
Median
$0.50
Typical High
$0.66
Select Health
Setting
Facility
Modifier
Global
Typical Low
$0.52
Median
$0.52
Typical High
$0.52
Select Health
Setting
Professional
Modifier
Global
Typical Low
$0.28
Median
$0.52
Typical High
$0.52
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$0.13
Median
$0.17
Typical High
$0.24
United
Setting
Professional
Modifier
Global
Typical Low
$0.34
Median
$0.34
Typical High
$0.34

Where Utah sits

The same service costs 1.5 times more in Minnesota than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Utah· 38th of 51

$0.34

MN $0.50NE $0.33

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.