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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 October 2026.

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

$19.05

Typical physician fee. In Massachusetts, October 2026.

Insurers have agreed to pay about $19.05 for this service. Most negotiated rates run $15.85 to $39.81.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $21 · 10th to 90th $16 to $2,951Professionalmedian $19 · 10th to 90th $11 to $54
$10$100$1K$10Kfacility $21professional $19

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.02
Median
$26.30
Typical High
$26.30
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$19.95
Typical High
$53.70
Cigna
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$15.85
Median
$22.39
Typical High
$5,888.44
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$19.05
Typical High
$53.70
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$19.95
Typical High
$53.70
United
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$19.05
Typical High
$53.70
Well Sense
Setting
Facility
Modifier
None
Typical Low
$13.49
Median
$18.62
Typical High
$28.18
Well Sense
Setting
Professional
Modifier
None
Typical Low
$13.49
Median
$13.49
Typical High
$18.20

Where Massachusetts sits

The same service costs 234.4 times more in North Carolina than in Pennsylvania. 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· 10th of 51

$19.05

NC $100PA $0.43

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.