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California rates for HCPCS Q0173

Trimethobenzamide HCl, 250 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$10%20%40%10th90th$1Professionalmedian $1 · 10th–90th $1$30%50%90th$1$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
$1.70 / $1.91 / $2.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $1.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.87 / $0.98 / $1.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.83 / $2.40
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $1.29 / $1.74
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $1.12 / $2.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.83 / $1.66 / $2.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.83 / $0.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $398.11 / $831.76
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.62 / $5.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.89 / $0.89 / $0.89
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.50 / $1.17
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.83 / $0.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.83 / $1.70