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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $10.00 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $8.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $9,549.93 / $23,988.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $9.33 / $14.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $8.32