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Nationwide rates for HCPCS Q0175

Perphenazine, 4 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–$20%20%10th90th$1Professionalmedian $1 · 10th–90th $0–$20%50%10th90th$1$0.1$1.0$20.0$500.0$10.0K$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
$1.07 / $1.26 / $4.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $1.58 / $1.66
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.51 / $0.65 / $1.29
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.44 / $0.49 / $0.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.50 / $0.89 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.47 / $1.07 / $1.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.47 / $0.49 / $2.04

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