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Kansas 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 $0 · 10th–90th $0–$10%20%40%10th90th$0Professionalmedian $0 · 10th–90th $0–$10%50%90th$0$0.5$1.0$2.0$5.0$10.0$20.0$50.0

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
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.91 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.40 / $0.42 / $0.42
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $0.35
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $0.95 / $1.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.83 / $0.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.35 / $0.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.83 / $4.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.55 / $0.55 / $0.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.83 / $0.83