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Promethazine, Oral

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

Rates data updated July 2026.

Facilitymedian $0 · 10th–90th $0$40%10%20%10th90th$0Professionalmedian $0 · 10th–90th $0$10%50%90th$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
Setting
Facility
Modifier
Global
Typical Low
$0.08
Median
$0.18
Typical High
$3.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.08
Median
$0.08
Typical High
$0.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.23
Median
$2.29
Typical High
$6.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.12
Median
$0.17
Typical High
$0.22
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.09
Median
$0.09
Typical High
$0.10
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$7.08
Typical High
$9.12
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$0.04
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$0.35
Median
$0.48
Typical High
$0.48
United
Setting
Professional
Modifier
Global
Typical Low
$0.08
Median
$0.08
Typical High
$0.08