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Hydroxyzine Pamoate, Oral

Idaho rates for HCPCS Q0177

Hydroxyzine pamoate, 25 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 $0 · 10th–90th $0$10%20%10th90th$0Professionalmedian $0 · 10th–90th $0$00%20%40%10th90th$0$0.1$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
Setting
Facility
Modifier
Global
Typical Low
$0.13
Median
$0.13
Typical High
$6.92
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.12
Median
$0.12
Typical High
$0.16
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.04
Median
$0.06
Typical High
$0.39
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.26
Median
$0.26
Typical High
$0.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.14
Median
$0.15
Typical High
$0.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.13
Median
$0.13
Typical High
$0.13
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$0.12
Median
$0.15
Typical High
$0.56
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$0.05
Median
$0.06
Typical High
$2.14
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$0.49
Median
$0.49
Typical High
$0.49
Select Health
Setting
Facility
Modifier
Global
Typical Low
$0.17
Median
$0.20
Typical High
$0.28
Select Health
Setting
Professional
Modifier
Global
Typical Low
$0.11
Median
$0.27
Typical High
$0.27
United
Setting
Professional
Modifier
Global
Typical Low
$0.13
Median
$0.13
Typical High
$0.13