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Perphenazine, Oral

Illinois 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$50%20%10th90th$1Professionalmedian $0 · 10th–90th $0$10%50%10th90th$0$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
$0.45
Median
$0.93
Typical High
$1.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.45
Median
$0.46
Typical High
$0.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.58
Median
$4.68
Typical High
$22.39
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.68
Median
$0.89
Typical High
$1.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.48
Median
$0.48
Typical High
$0.56
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$0.52
Median
$1.95
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$0.24
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$0.81
Median
$1.12
Typical High
$1.12
United
Setting
Professional
Modifier
Global
Typical Low
$0.47
Median
$0.47
Typical High
$2.04