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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
$7.57 / $9.31 / $17.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.77 / $7.69 / $9.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $6.77 / $6.77
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $8,702.00 / $13,785.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $8.28