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Idaho 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 $2 · 10th–90th $0–$20%20%10th90th$2$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
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.58 / $1.58
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $1.07 / $2.63
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.04 / $2.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.52 / $0.54 / $1.29
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 / $0.56 / $1.20
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.28 / $1.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.51
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.66 / $2.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.47 / $0.47 / $0.47