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Prochlorperazine, Oral

Washington 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 $1 · 10th–90th $0$20%10%20%10th90th$1Professionalmedian $0 · 10th–90th $0$10%50%10th90th$0$0.1$0.5$5.0$50.0$500.0$5.0K

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
Setting
Facility
Modifier
Global
Typical Low
$0.35
Median
$0.81
Typical High
$7.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.33
Median
$0.34
Typical High
$0.35
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$0.50
Median
$0.50
Typical High
$0.50
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$0.50
Median
$0.50
Typical High
$0.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.12
Median
$0.68
Typical High
$0.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.35
Median
$0.35
Typical High
$0.35
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$0.34
Median
$0.56
Typical High
$0.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$0.31
Median
$0.54
Typical High
$0.79
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$0.04
Median
$0.04
Typical High
$0.04
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.34
Median
$0.34
Typical High
$0.35
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.35
Median
$0.35
Typical High
$0.35
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$0.50
Median
$0.50
Typical High
$0.50
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$0.50
Median
$0.50
Typical High
$0.50
United
Setting
Facility
Modifier
Global
Typical Low
$0.22
Median
$0.34
Typical High
$1.82
United
Setting
Professional
Modifier
Global
Typical Low
$0.34
Median
$0.34
Typical High
$0.35
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$0.35
Median
$0.35
Typical High
$0.35