HCPCS Q0170

Promethazine 25 mg tablet

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Fee Schedule

Payer pricing summary

Low

Average

Median

High

$14

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	24	$1	$1	$1	50%	—	$1 – $2
2	Highmark facility · fee schedule · outpatient · +1 other terms	3	$0	$0	$0	4%	—	$0 – $1
3	Sanford Health Plan fee schedule · outpatient · +1 other terms	3	$0	$0	—	—	—	$0 – $0
4	Aetna professional · fee schedule · both · +7 other terms	2	$0	$0	—	—	—	$0 – $0
5	Cigna fee schedule · both · +6 other terms	2	$0	$0	$0	65%	—	$0 – $0
6	Kaiser fee schedule · outpatient · +1 other terms	2	$9	$13	$8	58%	—	$0 – $19
7	MultiPlan professional · percent of total billed charges · bothfrom % of charges · +1 other terms	2	$9	$9	—	—	—	$9 – $9
8	UnitedHealthcare facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms	2	$4	$4	$4	99%	—	$0 – $8
9	Anthem fee schedule · outpatient · +2 other terms	1	$2	$2	—	—	—	$2 – $2
10	Bcbs Vt facility · percent of total billed charges · outpatientfrom % of charges	1	$7	$7	$0	1%	—	$7 – $7
11	First Health percent of total billed charges · outpatientfrom % of charges	1	$14	$14	—	—	—	$14 – $14
12	Healthpartners facility · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
13	Humana fee schedule · outpatient · +4 other terms	1	$19	$19	$1	3%	—	$19 – $20
14	Molina facility · fee schedule · outpatient · +1 other terms	1	$1	$1	—	—	—	$1 – $1