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Connecticut 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
$7.87 / $12.07 / $21.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $7.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.79 / $11.51 / $22.69
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 / $6.77 / $6.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $6.77 / $6.77
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.57 / $6.57 / $6.57
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.57 / $6.57 / $6.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.81 / $7.57 / $8.40