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Washington 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 $8$160%10%20%10th90th$13Professionalmedian $7 · 10th–90th $7$80%50%10th90th$7$5.0$10.0$20.0$50.0

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
$7.94
Median
$15.14
Typical High
$18.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.94
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$9.77
Typical High
$19.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$12.88
Typical High
$13.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$50.12
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$14.45
Typical High
$20.89
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$9.77
Typical High
$19.50
United
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.41
Typical High
$7.41
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$8.91
Typical High
$12.59