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Maine 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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $10.93 / $10.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $4.00 / $5.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.60 / $10.60 / $10.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $10.93 / $10.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.68 / $34.79 / $48.96