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New York 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
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $10.00 / $10.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.69 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $10.72
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.59 / $12.59
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $23.99 / $48.98
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $25.12 / $35.48
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $30.20 / $35.48