HCPCS M0220
Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring
Retired codeInjection - Monoclonal Antibodies30 hospitals with prices
This code is retired. Some hospitals still list it.
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $282 – $415 | — | — |
| Deaconess Medical Center | $274 – $671 | — | — |
| Kadlec Regional Medical Center | $187 – $441 | — | — |
| Legacy Salmon Creek Medical Center | $424 – $622 | — | — |
| Mary Bridge Children's Hospital | $282 – $1,184 | — | — |
| MultiCare Auburn Medical Center | $282 – $725 | — | — |
| MultiCare Covington Medical Center | $282 – $725 | — | — |
| MultiCare Good Samaritan Hospital | $282 – $725 | — | — |
| MultiCare Valley Hospital | $266 – $670 | — | — |
| Overlake Hospital Medical Center & Clinics | $357 – $443 | — | — |
| PeaceHealth Peace Island Medical Center | — | $196 | $301 |
| PeaceHealth Southwest Medical Cente | $151 | $221 | $340 |
| PeaceHealth St John Medical Center | — | $223 | $343 |
| PeaceHealth St Joseph Medical Center | — | $254 – $293 | $391 – $450 |
| PeaceHealth United General Medical Center | — | $196 | $301 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $317 – $417 | — | — |
| Providence Centralia Hospital | $550 – $1,158 | — | — |
| Providence Holy Family Hospital | $351 – $591 | — | — |
| Providence Regional Medical Center Everett | $332 – $399 | — | — |
| Providence St Mary Medical Center | $140 – $874 | — | — |
| Providence St Peter Hospital | $351 – $539 | — | — |
| Swedish Edmonds Hospital | $395 – $471 | — | — |
| Swedish Issaquah | $349 – $422 | — | — |
| Swedish Medical Center | $421 – $564 | — | — |
| Swedish Medical Center / Cherry Hill | $421 – $564 | — | — |
| Tacoma General Allenmore Hospital | $282 – $725 | — | — |
| University of Washington Medical Ctr | $484 – $661 | — | — |
| Virginia Mason Medical Center | $407 – $555 | — | — |
| WhidbeyHealth Medical Center | — | $497 | $497 |
| Yakima Valley Memorial | $418 – $528 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.