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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.26 / $4.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.58 / $1.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.65 / $1.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.52 / $0.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.48 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $1.07 / $2.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.47 / $0.49