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New Jersey 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 $13 · 10th–90th $9–$11,4820%10%20%10th90th$13Professionalmedian $7 · 10th–90th $7–$90%50%90th$7$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$9.77 / $10.00 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $7.94 / $9.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $7.94
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $9,549.93 / $23,988.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $9.33 / $16.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $8.32