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Illinois 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 $3 · 10th–90th $0–$70%20%10th90th$3Professionalmedian $0 · 10th–90th $0–$70%50%10th90th$0$0.1$0.5$5.0$50.0$500.0

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
$1.58 / $3.31 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.16 / $0.24 / $1.15
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $2.29 / $6.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $0.17 / $0.22
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.10
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $7.08 / $9.12
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $2,511.89 / $2,511.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.46 / $0.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.08