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Indiana 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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $20.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $9.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.71 / $21.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.00 / $16.80 / $24.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.80 / $16.80 / $16.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $8.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.60 / $16.80 / $27.58