go back

Utah 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%10th$1Professionalmedian $1 · 10th–90th $0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$0.83
Typical High
$0.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$1.15
Typical High
$30.20
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$0.83
Median
$0.93
Typical High
$0.93
Select Health
Setting
Professional
Modifier
Global
Typical Low
$0.95
Median
$0.95
Typical High
$0.95
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$0.28
Median
$0.34
Typical High
$0.36
United
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$0.83
Typical High
$0.83