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Tixagevimab and Cilgavimab Injection, Home or Residence

New York rates for HCPCS M0221

Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known SARS-CoV-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available COVID-19 vaccine is not recommended due to a history of severe adverse reaction to a COVID-19 vaccine(s) and/or COVID-19 vaccine component(s), includes injection and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the COVID-19 public health emergency

Rates data updated October 2026.

How much does Tixagevimab and Cilgavimab Injection, Home or Residence cost?

$245

Typical physician fee. In New York, October 2026.

Insurers have agreed to pay about $245 for this service. Most negotiated rates run $240 to $251.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $240 · 10th to 90th $240 to $245Professionalmedian $251 · 10th to 90th $240 to $407
$200$500facility $240professional $251

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$407.38
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Univera
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$245.47
Univera
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$407.38

Where New York sits

The same service costs 25.1 times more in New Jersey than in Pennsylvania. 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.

New York· 27th of 28

$245

NJ $5,888PA $234

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.