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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.

Facilitymedian $2 · 10th–90th $0$150%20%10th90th$2Professionalmedian $0 · 10th–90th $0$00%50%10th90th$0$0.1$0.2$1.0$5.0$20.0

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
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