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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

Facilitymedian $23 · 10th–90th $7$290%20%10th90th$23Professionalmedian $7 · 10th–90th $7$80%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
$7.08
Median
$23.44
Typical High
$28.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$11.75
Typical High
$24.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$15.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$7.59
United
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$12.30