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Texas 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 $13 · 10th–90th $7$300%20%10th90th$13Professionalmedian $7 · 10th–90th $7$120%50%90th$7$5.0$20.0$100.0$500.0$2.0K

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
$7.08
Median
$13.18
Typical High
$30.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$12.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$13.80
Typical High
$29.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$15.85
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$10.96
Typical High
$18.20
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$12.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$10.72
Typical High
$21.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
United
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.59
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59