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Hawaii 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
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $6.77 / $6.77
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $9.08 / $10.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $9.08 / $11.36