go back

Prochlorperazine, Oral

West Virginia 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 October 2026.

How much does Prochlorperazine, Oral cost?

$0.35

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $0.35 for this service. The price depends on where it is billed: about $0.35 from a physician practice, and about $0.38 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.35$0.34 to $0.35
FacilityA hospital or hospital-owned outpatient department$0.38$0.38 to $0.91

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $4Professionalmedian $0 · 10th to 90th $0 to $1
$0.2$1$5$20facility $0professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.34
Median
$0.38
Typical High
$0.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.34
Median
$0.35
Typical High
$0.35
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.17
Median
$0.18
Typical High
$0.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.07
Median
$0.07
Typical High
$0.07
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.05
Median
$0.05
Typical High
$0.05
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.03
Median
$0.04
Typical High
$0.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$0.35
Median
$0.44
Typical High
$85.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.35
Median
$0.35
Typical High
$0.35
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$0.91
Median
$2.29
Typical High
$4.47
United
Setting
Professional
Modifier
None
Typical Low
$0.34
Median
$0.34
Typical High
$0.66

Where West Virginia sits

The same service costs 1.6 times more in Montana than in Michigan. 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.

West Virginia· 29th of 51

$0.35

MT $0.52MI $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.