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Gemtuzumab Ozogamicin Injection

North Carolina rates for HCPCS J9203 · Mylotarg

Injection, gemtuzumab ozogamicin, 0.1 mg

Rates data updated July 2026.

How much does Mylotarg (gemtuzumab ozogamicin) cost?

$245per 0.1 mg

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $245 for each 0.1 mg of this drug. The price depends on where it is billed: about $245 from a physician practice, and about $251 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 0.1 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$245
At a hospital outpatient department
$251

The same drug, in the same amount, costs 2% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$245$229 to $251
FacilityA hospital or hospital-owned outpatient department$251$234 to $389

How much rates vary

Facilitymedian $251 · 10th to 90th $219 to $501Professionalmedian $245 · 10th to 90th $204 to $282
$200$500facility $251professional $245

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$239.88
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$239.88
Typical High
$288.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$389.05
Typical High
$501.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$251.19
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$389.05
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$281.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$239.88
Typical High
$371.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$398.11
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$257.04
Typical High
$269.15
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52

Where North Carolina sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 8th of 51

$245

IA $263MD $240

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.