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Iowa rates for HCPCS Q0512

Pharmacy supply fee for oral anticancer, oral antiemetic, or immunosuppressive drug(s); for a subsequent prescription in a 30-day period

Facilitymedian $20 · 10th–90th $3–$280%20%10th90th$20Professionalmedian $22 · 10th–90th $3–$350%20%10th90th$22$0.2$1.0$5.0$20.0$100.0

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
$3.02 / $25.70 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $8.51 / $9.12
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $15.85 / $26.92
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $19.95 / $27.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $24.55 / $43.65
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $29.51 / $36.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $23.99 / $43.65
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $10.00