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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
$7.57 / $8.68 / $17.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.95 / $7.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $15.97 / $25.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.57
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.35 / $11.78 / $17.78
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.43 / $8.28 / $9.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $7.57 / $12.11
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.05 / $7.34 / $9.69
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $7.34 / $9.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.34 / $7.57 / $9.50