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Pharmacy Supply Fee, First Prescription in 30 Days

Montana 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

Rates data updated July 2026.

How much does Pharmacy Supply Fee, First Prescription in 30 Days cost?

$10.96

Typical physician fee. In Montana, July 2026.

Insurers have agreed to pay about $10.96 for this service. Most negotiated rates run $1.58 to $28.84.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $26 · 10th to 90th $2 to $47Professionalmedian $11 · 10th to 90th $2 to $40
$0.1$1$10$100facility $26professional $11

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$1.58
Typical High
$10.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$1.58
Median
$26.30
Typical High
$46.77
Providence
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$37.15
Typical High
$45.71

Where Montana sits

The same service costs 63.1 times more in North Carolina than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 41st of 51

$10.96

NC $100NE $1.58

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.