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Arizona 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
$8.10 / $15.14 / $22.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.64 / $8.33 / $9.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.06 / $17.89 / $35.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $7.33 / $48.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.77 / $6.77 / $6.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $6.77 / $6.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $9.16 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.57