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Indiana 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
$7.64 / $15.77 / $34.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.64 / $7.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $15.14 / $20.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.43 / $7.57 / $10.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $7.57 / $11.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $9.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.77 / $6.77 / $6.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.57 / $6.77 / $18.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $12.87