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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $15.14 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $50.12
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $14.79 / $21.38
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.76 / $7.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $9.77 / $18.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.41 / $7.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $8.91 / $12.59