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Idaho 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%20%10th90th$0Professionalmedian $0 · 10th–90th $0–$00%20%10th90th$0$0.0$0.1$0.5$2.0$10.0$50.0

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
$10.72 / $12.88 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.24 / $0.25 / $0.26
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.06 / $0.11 / $0.21
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.21 / $0.21
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.24
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
$0.05 / $0.10 / $0.55
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.49 / $0.51 / $0.51
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.42
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.13 / $1.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.08