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Minnesota 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 / $7.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $8.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.81 / $6.57 / $11.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.91 / $7.03 / $7.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.65 / $8.33 / $9.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $9.06 / $9.81
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.57
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.73 / $8.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.05 / $7.57 / $12.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $10.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $13.63