go back

Perphenazine, Oral

West 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

Rates data updated July 2026.

Facilitymedian $4 · 10th–90th $0$260%20%40%10th90th$4Professionalmedian $0 · 10th–90th $0$10%50%10th90th$0$0.5$1.0$2.0$5.0$10.0$20.0$50.0

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
$3.63
Typical High
$6.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.45
Median
$0.48
Typical High
$0.56
CareSource
Setting
Facility
Modifier
Global
Typical Low
$0.56
Median
$0.56
Typical High
$0.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.60
Median
$85.11
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.48
Median
$0.48
Typical High
$2.51
United
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$1.12
Typical High
$1.12
United
Setting
Professional
Modifier
Global
Typical Low
$0.47
Median
$0.47
Typical High
$0.60