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New Jersey 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–$1,3800%50%10th90th$1Professionalmedian $1 · 10th–90th $1–$40%50%10th90th$1$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$1.00 / $1.02 / $1.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.91 / $1.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.83 / $1.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.83 / $0.83
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $4.17 / $4.37
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $5,128.61 / $7,079.46
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $0.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $0.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.83 / $4.57