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Iowa rates for HCPCS Q0249

Injection Tocilizumab For Hospitalized Adults 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 Extracor- Poreal Membrane Oxygenation (Ecmo) Only 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.97 / $7.97 / $16.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.73 / $7.73 / $9.66
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.06 / $7.57 / $13.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.46 / $7.97 / $13.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $9.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.91 / $9.08 / $11.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $9.08 / $11.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.72
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.57