go back

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
$7.97 / $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