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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $9.53 / $15.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $9.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.06 / $6.06 / $7.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.64 / $7.57 / $7.57
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.76 / $5.76 / $6.34
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.76 / $5.76 / $5.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.77 / $6.77 / $8.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $6.77 / $6.77
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.77 / $10.16 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $6.77 / $13.07
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.77 / $7.04 / $7.04
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $7.04 / $7.04
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.77 / $8.53 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.57 / $6.77 / $7.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $10.61
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.77 / $6.77 / $6.77
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $6.77 / $7.04