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Washington, DC 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 / $23.62 / $28.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.57
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.35 / $11.78 / $24.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.77 / $6.77 / $6.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.43 / $6.43 / $7.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.89 / $7.57 / $12.27