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Missouri 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–$20%20%10th90th$1Professionalmedian $0 · 10th–90th $0–$10%20%40%10th90th$0$0.2$1.0$5.0$20.0$100.0

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
$1.82 / $1.82 / $1.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $1.58 / $1.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.51 / $0.79 / $1.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.56
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $3.63 / $4.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.54 / $0.79 / $0.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.48
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.45 / $0.56 / $1.20
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.47 / $218.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.19 / $0.47 / $1.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.47 / $0.58