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Louisiana 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 $2 · 10th–90th $1–$20%50%10th$2Professionalmedian $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
$1.12 / $1.12 / $1.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.26 / $1.66
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.29
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.48 / $0.54 / $0.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.55 / $0.65 / $0.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.47 / $0.56