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Tocilizumab Infusion for COVID-19, First Dose

Wisconsin 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 July 2026.

Facilitymedian $479 · 10th–90th $447$1,2020%20%40%10th90th$479Professionalmedian $676 · 10th–90th $447$1,4790%20%10th90th$676$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
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$457.09
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$1,174.90
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$512.86
Typical High
$954.99
Medica
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$549.54
Typical High
$1,148.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$794.33
Typical High
$1,621.81
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$512.86
Typical High
$954.99
Quartz
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,096.48
Typical High
$1,513.56
Quartz
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,818.38
Typical High
$2,818.38
Quartz
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$870.96
Security Health
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$1,174.90
Typical High
$1,174.90
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$724.44
Typical High
$1,621.81