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Missouri 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 $7$260%20%10th90th$8Professionalmedian $8 · 10th–90th $7$110%20%40%10th90th$8$5.0$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
$8.32
Typical High
$25.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$10.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$8.13
Typical High
$26.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$11.22
Typical High
$12.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$9.12
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$7.59
Typical High
$8.32
United
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$10.23
Typical High
$10.96
United
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$7.59
Typical High
$8.32