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Wisconsin 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 $9 · 10th–90th $7$230%20%10th90th$9Professionalmedian $8 · 10th–90th $7$130%50%10th90th$8$5.0$10.0$20.0$50.0$100.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $17.38 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $16.22 / $16.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $10.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.76 / $20.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.76 / $14.13
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $16.22
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $7.59 / $16.22
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $9.77
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.71 / $8.71
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $14.79 / $25.12
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $6.76 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $6.76
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $12.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $7.59 / $17.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $10.47