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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $12.41 / $18.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.64 / $8.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.57 / $15.83 / $33.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.77 / $6.77 / $6.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $6.77 / $6.77
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $90.00 / $90.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $10.83 / $11.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.03 / $7.57 / $13.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.77 / $6.77 / $11.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $6.77 / $8.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $10.22