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Montana 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 / $20.00 / $26.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $8.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $16.00 / $26.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.17 / $26.04 / $31.03