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Idaho 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 $8 · 10th–90th $7–$130%20%10th90th$8Professionalmedian $8 · 10th–90th $7–$90%50%10th90th$8$5.0$10.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $8.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.59 / $8.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $7.59 / $11.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $7.59 / $7.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $7.59 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $6.76
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $9.55 / $9.55
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $8.32 / $9.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $14.45
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $8.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.59