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See a sample rate comparisonHCPCS Q0167 (Dronabinol) Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Dronabinol, 2.5 mg, oral, FDA approved prescription anti-emetic, for use as a complete therapeutic substitute for an IV anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
| Key Fact | Detail |
|---|---|
| Service Type | Temporary Codes Chemotherapy Anti-emetic Medications |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for Q0167 |
| Medicare Payment Limit | $1.352  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00904-7144-61 - DRONABINOL (10X10;USP,SOFT GELATIN) 2.5 MG • 00904-7145-04 - DRONABINOL (3X10;USP,SOFT GELATIN) 5 MG • 31722-0960-60 - DRONABINOL (SOFT GELATIN) 2.5 MG • 31722-0961-60 - DRONABINOL (SOFT GELATIN) 5 MG • 31722-0962-60 - DRONABINOL (SOFT GELATIN) 10 MG |
National average reimbursement for HCPCS Q0167 by major payers:
$2.08
$2.67
$2.52
$2.59
Compare published rates across providers.
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HCPCS Q0167
5 of 25 sample ratesHigher to lower in this preview
Christopher Chambers
Cooperative Healthcare Services Inc
$6.82Published rateBama Heart Doc, P.C., Alabama Heart And Vascular Medicine
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$2.42Published rateMeriwether Healthcare, L.L.C., Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
$1.85Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$0.81Published rateNicole Schwab
Allergy & Asthma Of Dupage, S.C.
$0.57Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS Q0167 vs. Other Chemotherapy Anti-emetic Medications Codes
The HCPCS Q0167 code is part of the Temporary Codes services used for Chemotherapy Anti-emetic Medications. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS Q0167 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 00904-7144-61-NDC | Moderate | DRONABINOL (10X10;USP,SOFT GELATIN) 2.5 MG |
| 00904-7145-04-NDC | Moderate | DRONABINOL (3X10;USP,SOFT GELATIN) 5 MG |
| 31722-0960-60-NDC | Moderate | DRONABINOL (SOFT GELATIN) 2.5 MG |
| Q0167-HCPCS | Low | Dronabinol, 2.5 mg, oral, FDA approved prescription anti-emetic, for use as a complete therapeutic substitute for an IV anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q0167. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q0167 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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