| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.48 | $0.48 | $0.48 | |
Cigna
| Professional | $0.48 | $0.48 | $0.80 | |
MVP Health Care
| Professional | $0.48 | $0.48 | $0.80 | |
United
| Professional | $0.47 | $0.47 | $1.09 |
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
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.48 | $0.48 | $0.48 | |
Cigna
| Professional | $0.48 | $0.48 | $0.80 | |
MVP Health Care
| Professional | $0.48 | $0.48 | $0.80 | |
United
| Professional | $0.47 | $0.47 | $1.09 |