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Tocilizumab Infusion for COVID-19, First Dose

South Dakota 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?

$550

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $447 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$550$447 to $832
FacilityA hospital or hospital-owned outpatient department$447$447 to $759

How much rates vary

Facilitymedian $447 · 10th to 90th $447 to $759Professionalmedian $550 · 10th to 90th $447 to $955
$500$1Kfacility $447professional $550

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Aetna
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Cigna
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Cigna
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$549.54
Medica
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$758.58
Typical High
$758.58
Medica
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$812.83
Typical High
$954.99
Midlands
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
United
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$831.76
Typical High
$954.99
Wellmark
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$446.68

Where South Dakota 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.

South Dakota· 17th of 51

$550

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.