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Minnesota 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 $27 · 10th–90th $13–$420%20%10th90th$27Professionalmedian $13 · 10th–90th $10–$130%50%10th$13$0.2$1.0$5.0$20.0$100.0

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
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $5.25 / $10.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $13.49 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $33.88 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $12.59 / $13.80
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $32.36 / $38.02
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $13.80
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $43.65 / $77.62
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $38.90 / $75.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $34.67 / $70.79