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Tocilizumab Infusion for COVID-19, First Dose

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

Rates data updated October 2026.

How much does Tocilizumab Infusion for COVID-19, First Dose cost?

$490

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $479 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$490$447 to $631
FacilityA hospital or hospital-owned outpatient department$479$447 to $891

How much rates vary

Facilitymedian $479 · 10th to 90th $417 to $1,288Professionalmedian $490 · 10th to 90th $398 to $832
$500$1Kfacility $479professional $490

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
Aetna
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$446.68
Typical High
$1,230.27
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$676.08
Cigna
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Moda Health
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$645.65
Moda Health
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$512.86
Typical High
$741.31
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$512.86
Typical High
$870.96
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$1,230.27
Typical High
$1,548.82
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Select Health
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$436.52
Typical High
$954.99
Select Health
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
United
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$645.65
Typical High
$870.96

Where Idaho sits

The same service costs 4.7 times more in Alaska than in Louisiana. 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.

Idaho· 24th of 51

$490

AK $1,862LA $398

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.