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Minnesota 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%20%10th90th$1Professionalmedian $1 · 10th–90th $1$10%50%10th$1$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
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$1.91
Typical High
$1.91
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.91
Median
$1.38
Typical High
$1.45
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.72
Median
$0.91
Typical High
$0.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$2.51
Typical High
$3.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$0.83
Typical High
$0.95
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1.95
Median
$2.40
Typical High
$2.82
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$0.76
Typical High
$1.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.28
Median
$0.54
Typical High
$1.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$0.83
Typical High
$4.37
United
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$0.83
Typical High
$1.74