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Nationwide rates for HCPCS M0250

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, second dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $933.25 / $5,011.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $446.68 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $446.68 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $602.56 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $588.84 / $1,096.48