Inj mogamulizumab-kpkc- 1 mg

Reported by 90 hospitals in the network under the fee schedule methodology.

Filter by billing methodology

Reflects negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$218

Average

$299

Median

$272

High

$490

#	Hospital	Location
1	Virginia Mason Medical Center	Seattle, WA	$249	$340	$201	—	$174	$863
2	IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center	Murray, UT	$218	$237	$24	—	$218	$289
3	IHC Health Services Inc., DBA Intermountain Health Utah Valley Hospital	Provo, UT	$218	$236	$27	—	$210	$294
4	IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital	Ogden, UT	$218	$236	$26	—	$204	$290
5	IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital	St. George, UT	$218	$233	$22	—	$218	$279
6	IHC Health Services Inc., DBA Intermountain Health LDS Hospital	Salt Lake City, UT	$218	$241	$26	—	$218	$295
7	Scl Health - Montana, Dba Intermountain Health St. Vincent Healthcare	Billings, MT	$596	$488	$142	—	$249	$740
8	Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph Hospital	DENVER, CO	$394	$400	$109	—	$246	$646
9	IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital	Logan, UT	$218	$232	$23	—	$207	$279
10	St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional Hospital	JUNCTION, CO	$454	$393	$162	—	$249	$802

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