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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $15.06 / $15.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $9.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.33 / $13.42 / $24.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.77 / $9.06 / $11.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $6.77 / $6.77
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $8.02 / $12.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.68 / $8.33 / $11.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.57