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Nebraska 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%10%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%50%10th90th$1$0.5$2.0$10.0$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
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.95 / $0.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.89 / $0.91 / $0.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.83 / $1.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.49 / $0.81
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.83 / $4.37
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $1.10 / $1.70
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $1.20 / $1.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.79 / $1.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.83 / $0.91