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Minnesota 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 $18 · 10th–90th $9–$280%20%10th90th$18Professionalmedian $9 · 10th–90th $7–$100%50%10th90th$9$0.2$1.0$5.0$20.0

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
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $10.23 / $25.70
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $8.91 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $22.91 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $8.51 / $9.12
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $21.38 / $25.12
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $9.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $28.84 / $51.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $25.70 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $23.44 / $46.77