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Wisconsin 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

Facilitymedian $21 · 10th–90th $13–$350%10%20%10th90th$21Professionalmedian $20 · 10th–90th $3–$320%10%20%10th90th$20$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $19.95 / $25.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $3.98 / $21.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $19.05 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $8.51 / $9.12
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $20.42 / $34.67
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $18.20 / $22.91
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $20.42 / $39.81
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $23.99 / $47.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $58.88 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $23.99 / $50.12