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California rates for HCPCS M0249

Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with COVID-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ECMO) only, includes infusion and post administration monitoring, first dose

Facilitymedian $646 · 10th–90th $447–$2,8180%20%40%10th90th$646Professionalmedian $447 · 10th–90th $447–$6170%50%90th$447$500.0$1.0K$2.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $1,230.27 / $1,548.82
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $588.84 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $537.03 / $977.24
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $2,818.38 / $2,818.38
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $645.65 / $933.25
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $467.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $851.14 / $1,122.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $616.60 / $1,905.46