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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

Facilitymedian $1 · 10th–90th $0–$10%20%10th90th$1Professionalmedian $1 · 10th–90th $0–$20%20%10th90th$1$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $2.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $1.66 / $1.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.48
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.45 / $0.60 / $1.32
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $60.26 / $60.26
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $0.78 / $1.23
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.56 / $0.68 / $0.68
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.45 / $0.56 / $1.32
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $1.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.47 / $0.47 / $1.32