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Montana 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–$20%20%10th90th$0Professionalmedian $0 · 10th–90th $0–$10%50%10th90th$0$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

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
$0.46 / $0.95 / $6.03
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
$0.10 / $46,773.51 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $1.23 / $4.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $1.05
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $1.12 / $1.15
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $1.12 / $1.15
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.04 / $0.12 / $0.79
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.07 / $0.09 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.08