go back

Pharmacy Supply Fee, Subsequent Prescription in 30 Days

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

Rates data updated July 2026.

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

$19.05

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $20.42 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$18.20$7.41 to $26.30
FacilityA hospital or hospital-owned outpatient department$20.42$16.22 to $28.84

How much rates vary

Facilitymedian $20 · 10th to 90th $13 to $35Professionalmedian $18 · 10th to 90th $3 to $33
$0.1$1$10$100facility $20professional $18

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
Professional
Modifier
Global
Typical Low
$0.07
Median
$3.02
Typical High
$26.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$3.98
Typical High
$21.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$19.05
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$8.71
Typical High
$9.12
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$20.42
Typical High
$34.67
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$18.20
Typical High
$22.91
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$20.42
Typical High
$39.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$23.99
Typical High
$47.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$58.88
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$20.42
Typical High
$34.67
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$100.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
United
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$23.99
Typical High
$50.12

Where Wisconsin 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.

Wisconsin· 11th of 51

$19.05

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.