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Tixagevimab and Cilgavimab Injection, Home or Residence

Wisconsin 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 rates vary

Facilitymedian $257 · 10th to 90th $251 to $692Professionalmedian $316 · 10th to 90th $251 to $501
$500facility $257professional $316

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

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$257.04
Typical High
$691.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$501.19
Quartz
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$676.08