HCPCS M0221
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 in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency
Retired codeInjection - Monoclonal Antibodies29 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 | $469 – $691 | — | — |
| Deaconess Medical Center | $455 – $1,117 | — | — |
| Kadlec Regional Medical Center | $311 – $734 | — | — |
| Legacy Salmon Creek Medical Center | $706 – $1,035 | — | — |
| Mary Bridge Children's Hospital | $469 – $1,970 | — | — |
| MultiCare Auburn Medical Center | $469 – $1,207 | — | — |
| MultiCare Covington Medical Center | $469 – $1,207 | — | — |
| MultiCare Good Samaritan Hospital | $469 – $1,207 | — | — |
| MultiCare Valley Hospital | $443 – $1,115 | — | — |
| Overlake Hospital Medical Center & Clinics | $594 – $737 | — | — |
| PeaceHealth Peace Island Medical Center | — | $196 | $301 |
| PeaceHealth Southwest Medical Cente | $251 | $221 | $340 |
| PeaceHealth St John Medical Center | — | $223 | $343 |
| PeaceHealth St Joseph Medical Center | — | $225 | $346 |
| PeaceHealth United General Medical Center | — | $196 | $301 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $528 – $694 | — | — |
| Providence Centralia Hospital | $915 – $1,928 | — | — |
| Providence Holy Family Hospital | $583 – $984 | — | — |
| Providence Regional Medical Center Everett | $553 – $665 | — | — |
| Providence St Mary Medical Center | $233 – $1,455 | — | — |
| Providence St Peter Hospital | $584 – $897 | — | — |
| Swedish Edmonds Hospital | $658 – $783 | — | — |
| Swedish Issaquah | $581 – $702 | — | — |
| Swedish Medical Center | $700 – $939 | — | — |
| Swedish Medical Center / Cherry Hill | $700 – $939 | — | — |
| Tacoma General Allenmore Hospital | $469 – $1,207 | — | — |
| University of Washington Medical Ctr | $806 – $1,100 | — | — |
| Virginia Mason Medical Center | $678 – $924 | — | — |
| Yakima Valley Memorial | $696 – $878 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.