go back

North Carolina 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 $7 · 10th–90th $6$100%50%10th90th$7Professionalmedian $7 · 10th–90th $6$90%50%10th90th$7$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
$6.03
Median
$6.76
Typical High
$8.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.08
Typical High
$8.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$10.23
Typical High
$15.85
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Medcost
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$7.59
Typical High
$8.91
United
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$12.59
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$10.47
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13