go back

Virginia 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 $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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $1.51 / $1.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.45 / $0.76
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $1.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.48 / $0.85 / $1.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.81 / $1.32
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.20 / $0.20 / $0.76
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.46 / $0.56 / $1.02
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.56 / $0.56 / $0.62
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $1.95
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $1.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.59 / $1.07 / $1.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.47 / $0.47 / $0.49