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Pharmacy Supply Fee, First Prescription in 30 Days

Wisconsin 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?

$12.88

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $12.88 for this service. The price depends on where it is billed: about $12.88 from a physician practice, and about $28.84 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.88$9.55 to $32.36
FacilityA hospital or hospital-owned outpatient department$28.84$23.99 to $41.69

How much rates vary

Facilitymedian $29 · 10th to 90th $10 to $51Professionalmedian $13 · 10th to 90th $2 to $50
$0.1$1$10$100facility $29professional $13

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.11
Median
$1.58
Typical High
$10.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$3.98
Typical High
$21.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$28.18
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.88
Typical High
$13.80
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1.58
Median
$28.84
Typical High
$51.29
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$26.92
Typical High
$34.67
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.58
Median
$28.84
Typical High
$60.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$36.31
Typical High
$72.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$58.88
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$1.58
Median
$28.84
Typical High
$51.29
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$100.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
United
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$36.31
Typical High
$74.13

Where Wisconsin 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.

Wisconsin· 23rd of 51

$12.88

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.