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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

Facilitymedian $29 · 10th–90th $10–$510%10%10th90th$29Professionalmedian $10 · 10th–90th $1–$490%10%20%10th90th$10$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $8.91 / $10.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $3.98 / $21.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $28.18 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $12.88 / $13.80
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $28.84 / $51.29
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $26.92 / $34.67
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $28.84 / $60.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $36.31 / $72.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $58.88 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $36.31 / $72.44