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Nationwide rates for HCPCS Q0169

Promethazine HCl, 12.5 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $3.09 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $1.15 / $1.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.11 / $0.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.08 / $0.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.44 / $1.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08