go back

Indiana 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
$7.64 / $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