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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $9.60 / $10.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.60 / $10.60 / $10.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $10.93 / $38.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.60 / $1,800,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.25 / $39.04 / $45.89