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Nationwide rates for HCPCS Q0511

Pharmacy supply fee for oral anticancer, oral antiemetic, or immunosuppressive drug(s); for the first prescription in a 30-day period

Facilitymedian $24 · 10th–90th $2–$510%20%10th90th$24Professionalmedian $13 · 10th–90th $2–$370%20%10th90th$13$0.0$0.5$10.0$200.0$5.0K$100.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $2.75 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $9.55 / $10.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $93.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $3.98 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $33.88 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $13.80 / $13.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $23.99 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $23.44 / $44.67

See more rates by state

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