Mogamulizumab injection, per 1 mg at Boulder Community Health

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Inj, mogamulizumab-kpkc, 1 mg

Boulder, CO

See all hospitals reporting HCPCS J9204 →

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Pricing by billing methodology

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How this price compares nationally

Boulder Community Health’s median price of $259 is 24% below the median hospital's median price ($338), higher than 26% 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 Boulder Community Health

Negotiated rates from the hospital’s own file: 7 payers, 17 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	Cigna commercial facility · fee schedule · outpatient	$244	$244	—	—	—	$244 – $244
2	UnitedHealthcare commercial professional · fee schedule · both	$249	$249	—	—	—	$249 – $249
3	Anthem commercial professional · fee schedule · both	$253	$253	—	—	—	$253 – $253
4	Anthem managed care professional · fee schedule · both	$253	$253	—	—	—	$253 – $253
5	Cigna commercial professional · fee schedule · both	$253	$253	—	—	—	$253 – $253
6	Humana medicare advantage professional · fee schedule · both	$253	$253	—	—	—	$253 – $253
7	UnitedHealthcare medicare advantage professional · fee schedule · both	$256	$256	$3	1%	—	$253 – $259
8	Aetna medicare advantage facility · case rate · outpatient	$259	$259	—	—	—	$259 – $259
9	Anthem medicare advantage facility · case rate · outpatient	$259	$259	—	—	—	$259 – $259
10	Aetna medicare advantage professional · fee schedule · both	$263	$263	—	—	—	$263 – $263
11	Humana medicare advantage facility · case rate · outpatient	$264	$264	—	—	—	$264 – $264
12	UnitedHealthcare medicare advantage facility · case rate · outpatient	$264	$264	—	—	—	$264 – $264
13	Kaiser medicare advantage facility · case rate · outpatient	$265	$265	$1	0%	—	$264 – $266
14	Devoted medicare advantage facility · case rate · outpatient	$266	$266	—	—	—	$266 – $266
15	Aetna commercial professional · fee schedule · both	$379	$379	$116	31%	—	$263 – $495
16	Kaiser commercial facility · case rate · outpatient	$564	$564	$68	12%	—	$496 – $632
17	Kaiser managed care facility · case rate · outpatient	$626	$626	—	—	—	$626 – $626

Last updated: Sep 16, 2026

Compare to other hospitals

See Mogamulizumab injection, per 1 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.