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 1MG/0.25ML INJ
Monroeville, PA
See all hospitals reporting HCPCS J9204 →Price type
UPMC East’s median price of $328 is 3% below the median hospital's median price ($338), higher than 48% of the 1,430 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: 6 payers, 39 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 | Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 2 | UnitedHealthcare all business facility · fee schedule · outpatient | $243 | $243 | — | — | — | $243 – $243 |
| 3 | UnitedHealthcare compass exchange facility · fee schedule · outpatient | $243 | $243 | — | — | — | $243 – $243 |
| 4 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $249 | $249 | — | — | — | $249 – $249 |
| 5 | Highmark medicaid facility · fee schedule · outpatient | $249 | $249 | — | — | — | $249 – $249 |
| 6 | UnitedHealthcare unison advantage non special needs facility · fee schedule · outpatient | $261 | $261 | — | — | — | $261 – $261 |
| 7 | UnitedHealthcare medicare facility · fee schedule · outpatient | $266 | $266 | — | — | — | $266 – $266 |
| 8 | Aetna medicare facility · fee schedule · outpatient | $267 | $267 | $6 | 2% | — | $261 – $273 |
| 9 | Highmark medicare facility · fee schedule · outpatient | $268 | $268 | — | — | — | $268 – $268 |
| 10 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $268 | $268 | — | — | — | $268 – $268 |
| 11 | Cigna medicare facility · fee schedule · outpatient | $268 | $268 | — | — | — | $268 – $268 |
| 12 | UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient | $273 | $273 | — | — | — | $273 – $273 |
| 13 | UnitedHealthcare compass exchange facility · percent of total billed charges · inpatientfrom % of charges | $294 | $294 | — | — | — | $294 – $294 |
| 14 | Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges | $303 | $303 | — | — | — | $303 – $303 |
| 15 | Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges | $311 | $311 | — | — | — | $311 – $311 |
| 16 | Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges | $328 | $328 | — | — | — | $328 – $328 |
| 17 | Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges | $328 | $328 | — | — | — | $328 – $328 |
| 18 | Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges | $330 | $330 | — | — | — | $330 – $330 |
| 19 | Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $337 | $337 | — | — | — | $337 – $337 |
| 20 | Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $337 | $337 | — | — | — | $337 – $337 |
| 21 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $337 | $337 | — | — | — | $337 – $337 |
| 22 | Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges | $339 | $339 | — | — | — | $339 – $339 |
| 23 | Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges | $346 | $346 | — | — | — | $346 – $346 |
| 24 | Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges | $346 | $346 | — | — | — | $346 – $346 |
| 25 | Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $346 | $346 | — | — | — | $346 – $346 |
Last updated: Mar 6, 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.