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Massachusetts 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%50%10th90th$0Professionalmedian $0 · 10th–90th $0–$00%50%90th$0$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$1.02 / $1.02 / $1.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.16 / $1.15 / $1.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.09 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $0.19 / $0.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.09
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $2,951.21 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $1.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.04 / $0.08
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.41 / $0.41 / $0.41
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.09 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $64.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.46 / $0.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.08 / $0.08