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Iowa 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
$7.59 / $7.94 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $9.55
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.59 / $151.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $7.94 / $16.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $11.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $9.77 / $9.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $7.41 / $17.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.76
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59