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South Carolina 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 $7–$320%10%20%10th90th$10Professionalmedian $7 · 10th–90th $6–$100%20%40%10th90th$7$5.0$10.0$20.0

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
$7.08 / $10.72 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.08 / $12.30
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $8.51 / $13.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $8.13 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $11.75 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $6.76
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $8.71 / $21.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $7.59 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $8.32