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New York 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–$10%50%10th90th$1Professionalmedian $4 · 10th–90th $1–$70%20%10th90th$4$0.2$2.0$20.0$200.0$2.0K$20.0K$200.0K

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
$1.02 / $1.02 / $1.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.91 / $1.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.76 / $0.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.87 / $1.05 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.83 / $0.95
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.87 / $0.87 / $1.51
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $4.27 / $4.37
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.74 / $0.78 / $0.87
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $1.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $0.71 / $0.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $4.37 / $8.13
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $0.87 / $0.87
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.74 / $0.78 / $0.87