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Idaho 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 $447 · 10th–90th $427–$1,2300%20%10th90th$447Professionalmedian $447 · 10th–90th $427–$4470%50%10th$447$500.0$1.0K

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
$426.58 / $426.58 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $446.68 / $446.68
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $446.68 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $446.68 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $446.68 / $645.65
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $446.68 / $446.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,174.90 / $1,548.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $676.08 / $758.58
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $794.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $575.44 / $831.76