go back

Pharmacy Supply Fee, Subsequent Prescription in 30 Days

Pennsylvania 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?

$10.47

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $10.47 for this service. The price depends on where it is billed: about $11.48 from a physician practice, and about $0.02 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 8 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$11.48$3.02 to $22.39
FacilityA hospital or hospital-owned outpatient department$0.02$0.02 to $0.02

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $5,012Professionalmedian $11 · 10th to 90th $0 to $26
$0.1$1$10$100$1K$10K$100Kfacility $0professional $11

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$19.95
Typical High
$26.30
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$0.41
Median
$0.43
Typical High
$0.43
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
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$22.91
Typical High
$52.48
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$0.07
Median
$3.02
Typical High
$26.30
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$29.51
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$15.85
Typical High
$26.92

Where Pennsylvania 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.

Pennsylvania· 34th of 51

$10.47

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.