go back

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

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
$1.00 / $1.32 / $1.32
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.58 / $1.66
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.48 / $1.02 / $1.26
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.56 / $1.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.55 / $0.72 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.48
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.48
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $2.04 / $2.04
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.47 / $0.79 / $1.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.47 / $0.47 / $2.04
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.49 / $0.49 / $0.49