go back

Pharmacy Supply Fee, Subsequent Prescription in 30 Days

Massachusetts 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

Rates data updated July 2026.

How much does Pharmacy Supply Fee, Subsequent Prescription in 30 Days cost?

$15.85

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $15.85 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 7 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$15.85$8.32 to $26.30
FacilityA hospital or hospital-owned outpatient department$15.85$0.07 to $23.44

How much rates vary

Facilitymedian $16 · 10th to 90th $0 to $2,951Professionalmedian $16 · 10th to 90th $0 to $30
$0.1$1$10$100$1K$10Kfacility $16professional $16

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.07
Median
$0.07
Typical High
$0.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.07
Median
$3.02
Typical High
$26.30
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$19.05
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$22.39
Typical High
$5,888.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$19.05
Typical High
$38.02
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$19.05
Typical High
$38.90
United
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$15.85
Typical High
$38.90

Where Massachusetts sits

The same service costs 33.1 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.

Massachusetts· 22nd of 51

$15.85

NC $100NE $3.02

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.