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Ohio 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 $1–$30%10%10th90th$1Professionalmedian $1 · 10th–90th $0–$10%20%10th90th$1$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
$1.10 / $1.26 / $1.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.26 / $1.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.51 / $1.00 / $3.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $0.62 / $0.93
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $0.59
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.55 / $1.20 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.68
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $85.11
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.56
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.50 / $0.62 / $1.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $1.41 / $1.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.47 / $0.56