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Texas 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–$90%10%10th90th$0Professionalmedian $0 · 10th–90th $0–$00%50%90th$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
$0.65 / $5.13 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.24 / $1.15 / $1.15
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.06 / $0.15 / $0.28
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $0.03
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $1.05 / $1.29
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.21 / $0.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.09
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.04 / $0.10 / $0.76
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $1.15 / $1.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $54.95
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.60 / $8.91
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.04 / $0.09 / $0.55
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.30 / $0.46 / $0.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.08
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.11