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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

Facilitymedian $8 · 10th–90th $8–$120%50%90th$8Professionalmedian $8 · 10th–90th $6–$80%50%10th90th$8$10.0$20.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $11.48 / $12.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.59 / $7.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.94 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $9.12 / $9.77
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $20.89
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $10.47
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.59 / $12.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $10.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.41 / $8.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $14.13