Aurora Bay Area Prices – TIXAGEV AND CILGAV INJ is $880
Tixagevimab and Cilgavimab Injection (CPT M0220, Rev 771) Overview and Cost Information
The Tixagevimab and Cilgavimab injection—often referred to by its brand name, Evusheld—is a monoclonal antibody combination used for pre-exposure prophylaxis against COVID-19, primarily in individuals who are immunocompromised or for whom vaccination is not recommended or effective. At Aurora Bay Area, the listed price for this procedure (Charge Code 10006875) is $880, which typically includes the medication, administration, and facility fees. To avoid unexpected expenses, patients should request an itemized estimate that outlines all included services and inquire about any additional costs such as follow-up care or observation charges.
Cost Breakdown
- Medication cost: Included in the $880 fee.
- Administration fee: Included, covering the injection by a qualified healthcare professional.
- Facility fee: Included for use of outpatient clinical space.
- Potential additional fees: May apply for observation, consultation, or follow-up visits. Always confirm with billing staff.
Associated Costs
- Pre-injection screening or lab tests (if required)
- Post-injection observation (rarely billed separately, but check for specifics)
- Follow-up visits for side-effect monitoring
- Other medications or emergency interventions if rare allergic reactions occur
Insurance and Payment Advice
- Contact your insurer to confirm coverage for CPT code M0220 and the specific medication.
- Ask if prior authorization is required before receiving the injection.
- Request a pre-service estimate based on your insurance plan to understand your out-of-pocket responsibility.
- If uninsured, inquire about self-pay discounts or financial assistance programs offered by the facility.
Side-Effect Considerations
- Most patients tolerate the injection well, but mild side effects (pain at injection site, headache, fatigue) are possible.
- Serious allergic reactions are rare but require immediate medical attention.
- Inform your provider about all medications and allergies before the procedure.
Recovery Tips
- Monitor for side effects for at least 24 hours post-injection.
- Follow up with your healthcare provider if you experience any unusual symptoms.
- Maintain a list of all your medications to share with providers for future care coordination.
Frequently Asked Questions
-
What is Tixagevimab and Cilgavimab injection used for?
This injection is used for pre-exposure prevention of COVID-19 in people who are immunocompromised or cannot receive vaccines. -
Is the $880 fee all-inclusive?
The fee generally covers the medication, injection, and facility use, but additional costs may apply for pre- or post-injection services. Always ask for an itemized estimate. -
Does insurance cover this injection?
Coverage varies by insurer and plan. Confirm with your insurance provider whether CPT code M0220 is covered and if prior authorization is needed. -
Will I need to pay anything out of pocket?
Your out-of-pocket cost depends on your insurance plan, deductible, and copay. Request a detailed estimate before the procedure. -
Are there any side effects?
Most side effects are mild, such as soreness at the injection site or headache. Severe reactions are rare but possible. -
How long does the appointment take?
The injection itself takes only a few minutes, but you may be monitored briefly afterward for safety. -
Can I receive this injection if I have allergies?
Inform your healthcare provider of all allergies. Most people can safely receive the injection, but allergic reactions, though rare, are possible. -
Do I need a referral?
Some insurance plans require a referral for specialty medications; check with your provider and insurer beforehand. -
Is financial assistance available?
Ask about self-pay discounts or assistance programs if you are uninsured or underinsured. -
Can I get this injection more than once?
Frequency of administration depends on evolving public health guidance and your individual health needs. Discuss with your healthcare provider. -
Is there any follow-up required after the injection?
Follow-up is not always required, but you should contact your provider if you experience any side effects or have concerns.
Aurora Bay Area – Aurora Prices for Charge Code 10006875 TIXAGEV AND CILGAV INJ rev 771 cpt M0220 is $880
Aurora Medical Center Bay Area, located at 3003 University Dr, Marinette, WI 54143, is your go-to destination for compassionate and comprehensive healthcare services in Marinette County, Wisconsin. Open 24 hours to serve your medical needs, we ensure every visit is supported by our caring and highly skilled staff. With a direct line at (715) 735-4200, we make it easy for you to reach out to us for any healthcare services you may need. Importantly, we understand the value of transparency in healthcare, which is why we provide a clear and easily accessible pricing list for all our procedures. Whether you’re planning a visit or require more information, Aurora Medical Center Bay Area is here to assist you every step of the way.
At Aurora Bay Area, we’re committed to transparency and clarity in our healthcare services and costs. For Charge Code 10006875, which pertains to TIXAGEV AND CILGAV INJ with a revenue code of 771 and a corresponding CPT code of M0220, the fee is $880.
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