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Nebraska 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%10%20%10th90th$1Professionalmedian $1 · 10th–90th $0–$20%20%40%10th90th$1$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
$1.12 / $1.29 / $1.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $1.26
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.46 / $0.62 / $0.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.60 / $0.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.79 / $1.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.41 / $0.65 / $0.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.47 / $0.47 / $218.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $1.10 / $1.70
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $1.20 / $1.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.19 / $0.79 / $1.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.47 / $0.56