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Kentucky 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 $9 · 10th–90th $8$140%50%10th90th$9Professionalmedian $7 · 10th–90th $7$80%50%90th$7$10.0$20.0$50.0

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
$7.08
Median
$7.59
Typical High
$15.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$8.91
Typical High
$12.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
CareSource
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$12.02
CareSource
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.94
Typical High
$10.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$35.48
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59