Mogamulizumab injection, per 1 mg at AMH Cath Labs LLC

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLN [141673]

Arlington, TX

See all hospitals reporting HCPCS J9204 →

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How this price compares nationally

AMH Cath Labs LLC’s median price of $5.7k is 1593% above the median hospital's median price ($338), higher than 89% of the 1,430 hospitals reporting HCPCS J9204. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J9204 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 33 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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#
1	Blue Cross Blue Shield medicare advantage case rate · outpatient	$249	$249	—	—	—	$249 – $249
2	Humana medicare advantage case rate · outpatient	$258	$258	—	—	—	$258 – $258
3	Humana medicare advantage ppo case rate · outpatient	$258	$258	—	—	—	$258 – $258
4	Molina medicare advantage case rate · outpatient	$261	$261	—	—	—	$261 – $261
5	WellCare medicare advantage hmo case rate · outpatient	$261	$261	—	—	—	$261 – $261
6	WellCare medicare advantage mmp case rate · outpatient	$273	$273	—	—	—	$273 – $273
7	UnitedHealthcare medicare advantage ppo case rate · outpatient	$276	$276	—	—	—	$276 – $276
8	UnitedHealthcare medicare advantage hmo case rate · outpatient	$281	$281	—	—	—	$281 – $281
9	Blue Cross Blue Shield hmo fee schedule · outpatient	$400	$400	—	—	—	$400 – $400
10	Blue Cross Blue Shield exchange fee schedule · outpatient	$410	$410	—	—	—	$410 – $410
11	Blue Cross Blue Shield ppo fee schedule · outpatient	$444	$444	—	—	—	$444 – $444
12	UnitedHealthcare all payer fee schedule · outpatient	$876	$876	—	—	—	$876 – $876
13	UnitedHealthcare ppo fee schedule · outpatient	$876	$876	—	—	—	$876 – $876
14	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
15	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
16	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
17	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
18	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
19	Blue Cross Blue Shield traditional fee schedule · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
20	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$5.1k	$5.1k	—	—	—	$5.1k – $5.1k
21	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$6.3k	$6.3k	—	—	—	$6.3k – $6.3k
22	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$6.9k	$6.9k	—	—	—	$6.9k – $6.9k
23	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$8.2k	$8.2k	—	—	—	$8.2k – $8.2k
24	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$8.4k	$8.4k	—	—	—	$8.4k – $8.4k
25	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$10.3k	$10.3k	—	—	—	$10.3k – $10.3k

Page 1 of 2 · 33 rates

Last updated: Apr 21, 2026

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