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Perphenazine, Oral

Washington 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

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $1$20%10%20%10th90th$1Professionalmedian $0 · 10th–90th $0$20%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
Setting
Facility
Modifier
Global
Typical Low
$0.48
Median
$0.48
Typical High
$1.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.45
Median
$0.46
Typical High
$0.48
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$1.51
Typical High
$1.51
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$1.51
Typical High
$1.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.48
Median
$0.91
Typical High
$2.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.48
Median
$0.48
Typical High
$0.48
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$0.55
Median
$0.91
Typical High
$1.58
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$0.55
Median
$0.89
Typical High
$1.51
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$75.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.46
Median
$0.46
Typical High
$0.48
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.48
Median
$0.48
Typical High
$0.48
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$1.51
Typical High
$1.51
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$1.51
Typical High
$1.51
United
Setting
Facility
Modifier
Global
Typical Low
$0.31
Median
$0.47
Typical High
$1.58
United
Setting
Professional
Modifier
Global
Typical Low
$0.47
Median
$0.47
Typical High
$2.04
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$0.47
Median
$0.47
Typical High
$0.47