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Colorado rates for HCPCS Q0249

Injection, 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, 1 mg

Facilitymedian $15 · 10th–90th $8$300%10%10th90th$15Professionalmedian $7 · 10th–90th $7$90%50%90th$7$10.0$20.0

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
$7.59
Median
$16.22
Typical High
$32.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$8.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$14.79
Typical High
$28.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$9.55
Typical High
$19.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.96
Typical High
$10.96
Select Health
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$7.59
Typical High
$7.59
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$12.59
Typical High
$22.91
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.94