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Pharmacy Supply Fee, Subsequent Prescription in 30 Days

New York 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 July 2026.

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

$8.32

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $8.32 for this service. The price depends on where it is billed: about $8.32 from a physician practice, and about $26.30 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$8.32$4.07 to $9.12
FacilityA hospital or hospital-owned outpatient department$26.30$26.30 to $26.30

How much rates vary

Facilitymedian $26 · 10th to 90th $17 to $50,119Professionalmedian $8 · 10th to 90th $3 to $26
$0.1$1$10$100$1K$10K$100Kfacility $26professional $8

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$19.95
Typical High
$26.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.69
Typical High
$4.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$8.32
Typical High
$36.31
Univera
Setting
Facility
Modifier
Global
Typical Low
$0.03
Median
$16.60
Typical High
$23.99
Univera
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$20.42
Typical High
$23.99

Where New York sits

The same service costs 33.1 times more in North Carolina than in Nebraska. 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.

New York· 45th of 51

$8.32

NC $100NE $3.02

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.