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Massachusetts 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 $1–$20%50%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$1.95 / $1.95 / $1.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $1.95 / $1.95
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $0.95 / $89.13
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.83 / $4.37
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.83 / $0.83 / $1.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.78 / $3.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.83 / $0.83
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.26 / $83.18 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.51 / $1.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.83 / $0.83
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $0.95 / $89.13
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.83 / $4.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.83 / $1.07 / $1.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.83 / $4.37