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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $7.57 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.64 / $7.87
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.58 / $20.29 / $90.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $7.57 / $9.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.77 / $6.77 / $6.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $6.77 / $6.77
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $15.72
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $90.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $7.57 / $11.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $7.57 / $9.32