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Arizona 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 $11 · 10th–90th $2–$410%20%10th90th$11Professionalmedian $14 · 10th–90th $1–$340%10%10th90th$14$0.1$0.5$2.0$10.0$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $8.91 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $10.96 / $40.74
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $25.70 / $43.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $23.99 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $24.55 / $42.66