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Michigan 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 $4 · 10th–90th $2–$160%10%10th90th$4Professionalmedian $13 · 10th–90th $2–$260%10%20%10th90th$13$1.0$2.0$5.0$10.0$20.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $19.95 / $25.70
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $3.80 / $7.76
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $1.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $9.12 / $9.12
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $38.90 / $45.71
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $17.38 / $23.99
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $13.49 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $17.78 / $25.70