Tocilizumab (2 Years of Age and Older) Injection

Vermont rates for HCPCS Q0249 · Actemra

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

Rates data updated July 2026.

How much does Actemra (tocilizumab) cost?

$7.59per mg

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $7.59 for each mg of this drug. Most negotiated rates run $7.59 to $7.59.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

Amount givenmg

In a doctor's office or clinic: $7.59

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $9 · 10th to 90th $9 to $9Professionalmedian $8 · 10th to 90th $8 to $13

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Professional Modifier Global Typical Low $7.59 Median $7.59 Typical High $12.88	Professional	Global	$7.59	$7.59	$12.88
Cigna Setting Professional Modifier Global Typical Low $6.76 Median $6.76 Typical High $9.55	Professional	Global	$6.76	$6.76	$9.55
United Setting Facility Modifier Global Typical Low $8.51 Median $8.51 Typical High $8.51	Facility	Global	$8.51	$8.51	$8.51
United Setting Professional Modifier Global Typical Low $7.59 Median $7.59 Typical High $8.13	Professional	Global	$7.59	$7.59	$8.13

Where Vermont sits

The same service costs 1.9 times more in Alaska than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Vermont· 34th of 51

$7.59

AK $12.88HI $6.61

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.