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Perphenazine, Oral

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

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $1$20%20%40%10th90th$1Professionalmedian $0 · 10th–90th $0$10%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
Setting
Facility
Modifier
Global
Typical Low
$0.56
Median
$0.56
Typical High
$0.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.45
Median
$0.48
Typical High
$0.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$2.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$2.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.48
Median
$0.54
Typical High
$0.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.48
Median
$0.48
Typical High
$0.48
United
Setting
Facility
Modifier
Global
Typical Low
$0.56
Median
$0.68
Typical High
$0.81
United
Setting
Professional
Modifier
Global
Typical Low
$0.42
Median
$0.47
Typical High
$0.56