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South Carolina 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 $0 · 10th–90th $0–$10%20%10th90th$0Professionalmedian $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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.17 / $1.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.32 / $0.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.95 / $1.26 / $2.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.83 / $0.83
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.56 / $0.60 / $0.68
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.41 / $0.91
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $1.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.83 / $0.83