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Illinois 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 $2 · 10th–90th $1$90%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1$60%50%90th$1$0.5$2.0$10.0$50.0$200.0$1.0K

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
Setting
Facility
Modifier
Global
Typical Low
$1.05
Median
$1.05
Typical High
$1.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$1.95
Typical High
$1.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$2.82
Typical High
$10.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.17
Median
$1.58
Typical High
$2.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$0.83
Typical High
$0.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.62
Typical High
$7.08
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$0.83
Median
$1.07
Typical High
$1.07
United
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$0.83
Typical High
$1.29