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North Dakota 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
$26.47 / $26.47 / $26.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $8.32 / $8.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.60 / $28.80 / $28.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $27.93 / $37.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $27.20 / $37.97