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New York 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 $10 · 10th–90th $8$190%20%10th90th$10Professionalmedian $8 · 10th–90th $7$90%50%10th90th$8$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$10.72
Typical High
$21.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$9.55
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.94
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$6.31
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$10.23
Typical High
$53,703.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$35.48
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$8.51
Typical High
$16.22
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.76
Typical High
$13.80
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$7.08
Typical High
$7.41
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$7.08
Typical High
$7.08
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$8.32
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$7.59
Typical High
$11.75
Univera
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$7.08
Typical High
$7.76
Univera
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$7.08
Typical High
$8.51