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Illinois 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 $13 · 10th–90th $8$250%20%10th90th$13Professionalmedian $7 · 10th–90th $7$90%50%90th$7$10.0$20.0$50.0$100.0$200.0

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
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$13.18
Typical High
$19.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$8.91
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$27.54
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$13.49
Typical High
$16.22
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$7.59
Typical High
$100.00
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$12.59
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59