go back

Virginia 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
$7.08 / $15.85 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $15.14 / $25.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $12.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $11.75 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $7.59 / $9.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $12.02
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.59 / $11.22
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.59 / $11.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $7.59 / $12.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.59 / $8.32