FDFairDoctor.org
Home/Procedures/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 Compromise
HCPCS Q0220Medical Service

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 Compromise

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 compromise. Clinical pricing breakdown and utilization metrics across 2 practicing doctors nationwide.

$0.01
Peer Median Charge
Gross billed rate
$0.01
Standard Baseline
Customary allowable
1.0x
National Markup
Charge vs baseline
2
Active Physicians
Billing this code
Planning care or already received a bill for CPT Q0220?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $0.01. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $0.01 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:
  • "Does Dr. [Name] participate in my specific insurance plan network?"
  • "What is the total self-pay or cash rate for code Q0220 if paid upfront?"
  • "Are there separate facility, anesthesia, or pathology fees associated with this procedure?"