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Arizona 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–$30%10%10th90th$1Professionalmedian $0 · 10th–90th $0–$20%50%90th$0$0.2$1.0$5.0$20.0$100.0

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
$1.05 / $1.78 / $3.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.58 / $1.66
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.40 / $1.62 / $3.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.51 / $0.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.49 / $0.79 / $0.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.48
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.45 / $0.51 / $1.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.47 / $0.47 / $218.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.38 / $1.07 / $1.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.47 / $0.47 / $0.48