go back

Washington 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
$0.07 / $26.47 / $26.47
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $16.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $8.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $70.00 / $80.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.00 / $16.00 / $16.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.80 / $25.91 / $43.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $13.60 / $13.60