Tocilizumab infusion, first dose

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC ADM TOCILIZUMAB COVID-19 IST

Payers reporting HCPCS M0249

Payer pricing summary

Low

$134

Average

$589

Median

$508

High

$1.5k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +24 other terms	279	$453	$624	$691	111%	—	$1 – $13.2k
2	Aetna facility · fee schedule · outpatient · +20 other terms	251	$455	$515	$207	40%	—	$155 – $1.6k
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +21 other terms	188	$477	$895	$746	83%	—	$81 – $2.9k
4	Humana fee schedule · outpatient · +17 other terms	184	$451	$511	$234	46%	—	$1 – $1.6k
5	Cigna fee schedule · outpatient · +20 other terms	124	$453	$551	$315	57%	—	$100 – $2.0k
6	WellCare facility · fee schedule · outpatient · +12 other terms	106	$474	$486	$65	13%	—	$399 – $637
7	Molina facility · fee schedule · outpatient · +18 other terms	100	$468	$486	$162	33%	—	$122 – $1.1k
8	Kaiser fee schedule · outpatient · +14 other terms	80	$554	$744	$534	72%	—	$142 – $3.5k
9	MultiPlan fee schedule · outpatient · +12 other terms	79	$758	$758	$210	28%	—	$362 – $1.4k
10	Anthem fee schedule · outpatient · +20 other terms	75	$450	$496	$416	84%	—	$126 – $4.1k
11	Ambetter facility · fee schedule · outpatient · +13 other terms	70	$793	$871	$199	23%	—	$419 – $1.2k
12	Devoted facility · fee schedule · outpatient · +9 other terms	62	$421	$434	$52	12%	—	$203 – $507
13	Tricare facility · fee schedule · outpatient · +9 other terms	47	$437	$436	$78	18%	—	$187 – $852
14	Optum fee schedule · outpatient · +11 other terms	40	$441	$531	$302	57%	—	$144 – $1.6k
15	First Health fee schedule · outpatient · +11 other terms	31	$674	$748	$179	24%	—	$423 – $1.2k
16	Caresource fee schedule · outpatient · +13 other terms	29	$296	$313	$188	60%	—	$1 – $661
17	Clover fee schedule · outpatient · +7 other terms	26	$492	$488	$22	5%	—	$448 – $531
18	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	25	$560	$558	$111	20%	—	$421 – $732
19	Medica fee schedule · outpatient · +14 other terms	25	$473	$759	$318	42%	—	$287 – $1.2k
20	Medicare fee schedule · outpatient · +11 other terms	24	$441	$441	$2	0%	—	$435 – $441
21	Oscar facility · fee schedule · outpatient · +14 other terms	24	$645	$643	$60	9%	—	$517 – $743
22	Regence facility · fee schedule · outpatient · +16 other terms	21	$464	$690	$435	63%	—	$417 – $1.8k
23	Superior Healthplan facility · fee schedule · outpatient · +4 other terms	21	$465	$457	$11	2%	—	$443 – $466
24	Highmark fee schedule · outpatient · +13 other terms	20	$567	$642	$375	58%	—	$202 – $2.7k
25	Aetna Better Health fee schedule · outpatient · +8 other terms	16	$423	$440	$20	5%	—	$422 – $464

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