Mogamulizumab injection, per 1 mg at UPMC Northwest

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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Generated: October 20, 2026

Original text from hospital filings

MOGAMULIZUMAB 1MG/0.25ML INJ

Seneca, PA

See all hospitals reporting HCPCS J9204 →

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Pricing by billing methodology

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How this price compares nationally

UPMC Northwest’s median price of $366 is 8% above the median hospital's median price ($338), higher than 53% 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 UPMC Northwest

Negotiated rates from the hospital’s own file: 7 payers, 27 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 community blue medicare advantage/complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage/together blue medicare advantage facility · fee schedule · outpatient	$249	$249	—	—	—	$249 – $249
2	Highmark medicaid facility · fee schedule · outpatient	$249	$249	—	—	—	$249 – $249
3	Aetna medicare facility · fee schedule · outpatient	$258	$258	$2	1%	—	$256 – $261
4	UnitedHealthcare unison advantage non special needs facility · fee schedule · outpatient	$261	$261	—	—	—	$261 – $261
5	Highmark medicare facility · fee schedule · outpatient	$268	$268	—	—	—	$268 – $268
6	Amerihealth Caritas medicare facility · fee schedule · outpatient	$268	$268	—	—	—	$268 – $268
7	UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient	$273	$273	—	—	—	$273 – $273
8	Highmark commercial - social mission indemnity/managed care - social mission facility · fee schedule · outpatient	$314	$314	—	—	—	$314 – $314
9	Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges	$346	$346	—	—	—	$346 – $346
10	Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges	$346	$346	—	—	—	$346 – $346
11	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$346	$346	—	—	—	$346 – $346
12	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$346	$346	—	—	—	$346 – $346
13	Highmark commercial - indemnity/managed care facility · fee schedule · outpatient	$387	$387	—	—	—	$387 – $387
14	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$501	$501	—	—	—	$501 – $501
15	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$518	$518	—	—	—	$518 – $518
16	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$518	$518	—	—	—	$518 – $518
17	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$533	$533	—	—	—	$533 – $533
18	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$536	$536	—	—	—	$536 – $536
19	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$544	$544	—	—	—	$544 – $544
20	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$544	$544	—	—	—	$544 – $544
21	Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges	$550	$550	—	—	—	$550 – $550
22	Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$562	$562	—	—	—	$562 – $562
23	Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges	$562	$562	—	—	—	$562 – $562
24	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$605	$605	—	—	—	$605 – $605
25	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$605	$605	—	—	—	$605 – $605

Page 1 of 2 · 27 rates

Last updated: Mar 6, 2026

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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.