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Alaska rates for HCPCS Q0249

Injection Tocilizumab For Hospitalized Adults 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 Extracor- Poreal Membrane Oxygenation (Ecmo) Only 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.94 / $13.94 / $49.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.64 / $14.08 / $14.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $6.77 / $6.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.13 / $20.13 / $20.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $24.38
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.16 / $11.16 / $17.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.16 / $15.94 / $26.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $6.77 / $8.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $11.36 / $15.27