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Massachusetts 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 $12 · 10th–90th $7$210%20%10th90th$12Professionalmedian $8 · 10th–90th $7$110%50%10th90th$8$10.0$20.0$50.0$100.0

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
$11.75
Typical High
$20.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$19.05
Typical High
$25.12
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.59
Typical High
$9.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$14.45
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$9.55
Typical High
$11.75
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$12.59
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$19.05
Typical High
$25.12
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.59
Typical High
$9.33
United
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.59
Typical High
$16.22
United
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.59
Typical High
$7.94