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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

Facilitymedian $26 · 10th–90th $2–$470%10%10th90th$26Professionalmedian $10 · 10th–90th $1–$340%20%10th90th$10$0.0$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
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $26.30 / $46.77
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $38.02 / $45.71