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.
Original text from hospital filings
mogamulizumab 4 mg/mL solution 5 mL Vial
River, SC
See all hospitals reporting HCPCS J9204 →Price type
McLeod Health’s median price of $265 is 22% below the median hospital's median price ($339), higher than 31% of the 1,426 hospitals reporting HCPCS J9204. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 20 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 hix fee schedule · both | $122 | $122 | — | — | — | $122 – $122 |
| 2 | Tricare dha fee schedule · both | $236 | $236 | — | — | — | $236 – $236 |
| 3 | Blue Cross Blue Shield medicare advantage fee schedule · both | $249 | $249 | — | — | — | $249 – $249 |
| 4 | Medicare medicare fee schedule · both | $249 | $249 | — | — | — | $249 – $249 |
| 5 | Blue Cross Blue Shield preferred fee schedule · both | $252 | $252 | — | — | — | $252 – $252 |
| 6 | UnitedHealthcare medicare advantage fee schedule · both | $252 | $252 | — | — | — | $252 – $252 |
| 7 | Blue Cross Blue Shield state fee schedule · both | $254 | $254 | — | — | — | $254 – $254 |
| 8 | Aetna medicare advantage fee schedule · both | $255 | $255 | — | — | — | $255 – $255 |
| 9 | Clover medicare advantage fee schedule · both | $258 | $258 | — | — | — | $258 – $258 |
| 10 | Humana medicare advantage fee schedule · both | $258 | $258 | — | — | — | $258 – $258 |
| 11 | Blue Cross Blue Shield choice fee schedule · both | $264 | $264 | — | — | — | $264 – $264 |
| 12 | WellCare medicare advantage fee schedule · both | $266 | $266 | — | — | — | $266 – $266 |
| 13 | Molina medicare advantage fee schedule · both | $265 | $338 | $104 | 31% | — | $265 – $485 |
| 14 | Blue Cross Blue Shield medicaid fee schedule · both | $443 | $443 | — | — | — | $443 – $443 |
| 15 | Medicaid medicaid fee schedule · both | $443 | $443 | — | — | — | $443 – $443 |
| 16 | Ambetter medicare advantage fee schedule · both | $447 | $447 | — | — | — | $447 – $447 |
| 17 | Molina medicaid fee schedule · both | $465 | $465 | — | — | — | $465 – $465 |
| 18 | Cigna commercial fee schedule · both | $586 | $586 | — | — | — | $586 – $586 |
| 19 | UnitedHealthcare commercial percent of total billed charges · bothfrom % of charges | $42.4k | $42.5k | $34.5k | 81% | — | $7.9k – $77.8k |
| 20 | Aetna commercial percent of total billed charges · bothfrom % of charges | $43.5k | $43.5k | $35.4k | 81% | — | $8.1k – $79.8k |
Last updated: Jul 20, 2026
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.