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Alaska 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

Facilitymedian $0 · 10th–90th $0–$10%10%10th90th$0Professionalmedian $0 · 10th–90th $0–$10%20%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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $9.33 / $9.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $1.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.09
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.12 / $0.91
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $60.26 / $60.26
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.14 / $0.14 / $0.22
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.12 / $0.12
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.11 / $0.60
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.09 / $1.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.20