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Pharmacy Supply Fee, Subsequent Prescription in 30 Days

Texas 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?

$15.14

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $13.49 from a physician practice, and about $19.05 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 9 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$13.49$3.02 to $19.95
FacilityA hospital or hospital-owned outpatient department$19.05$15.85 to $25.70

How much rates vary

Facilitymedian $19 · 10th to 90th $5 to $39Professionalmedian $13 · 10th to 90th $3 to $26
$0.1$1$10$100facility $19professional $13

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
Professional
Modifier
Global
Typical Low
$0.07
Median
$3.02
Typical High
$26.30
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$19.05
Typical High
$30.90
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Molina
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Providence
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$19.05
Typical High
$30.90
Providence
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$16.98
Typical High
$26.30
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$15.85
Typical High
$21.38

Where Texas 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.

Texas· 28th of 51

$15.14

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.