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New Jersey 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 $1 · 10th–90th $0$15,4880%10%20%10th90th$1Professionalmedian $0 · 10th–90th $0$00%20%40%10th90th$0$0.1$0.5$5.0$50.0$500.0$5.0K

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
$0.16 / $0.59 / $1.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.16 / $0.16 / $0.16
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.05 / $0.09 / $0.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.09
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.21 / $0.21
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.58 / $9,549.93 / $23,988.33
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.21 / $0.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.39 / $0.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.10