| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $447.30 | $447.30 | $459.45 | |
Aetna
| Professional | $447.30 | $447.30 | $450.00 | |
United
| Professional | $610.60 | $869.91 | $1,488.61 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $447.30 | $447.30 | $459.45 | |
Aetna
| Professional | $447.30 | $447.30 | $450.00 | |
United
| Professional | $610.60 | $869.91 | $1,488.61 |