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Perphenazine, Oral

Alaska 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

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $0$10%20%10th90th$1Professionalmedian $0 · 10th–90th $0$10%50%10th90th$0$0.5$2.0$10.0$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
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$2.63
Typical High
$2.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.45
Median
$0.46
Typical High
$0.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.48
Median
$0.48
Typical High
$0.48
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$0.45
Median
$0.56
Typical High
$1.32
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.78
Median
$0.78
Typical High
$1.23
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.56
Median
$0.68
Typical High
$0.68
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.45
Median
$0.56
Typical High
$1.32
Providence
Setting
Professional
Modifier
Global
Typical Low
$0.48
Median
$0.48
Typical High
$1.05
United
Setting
Professional
Modifier
Global
Typical Low
$0.45
Median
$0.47
Typical High
$1.32