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Gemtuzumab Ozogamicin Injection

Virginia rates for HCPCS J9203 · Mylotarg

Injection, gemtuzumab ozogamicin, 0.1 mg

Rates data updated July 2026.

How much does Mylotarg (gemtuzumab ozogamicin) cost?

$240per 0.1 mg

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $240 for each 0.1 mg of this drug. The price depends on where it is billed: about $240 from a physician practice, and about $288 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
$240
At a hospital outpatient department
$288

The same drug, in the same amount, costs 20% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 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$240$240 to $251
FacilityA hospital or hospital-owned outpatient department$288$240 to $525

How much rates vary

Facilitymedian $288 · 10th to 90th $240 to $661Professionalmedian $240 · 10th to 90th $240 to $302
$200$500facility $288professional $240

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
$239.88
Median
$501.19
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$263.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$446.68
Typical High
$812.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$398.11
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$457.09
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$281.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$257.04
Typical High
$398.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$245.47
Sentara
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$239.88
Typical High
$354.81
Sentara
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$239.88
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$295.12
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$257.04
Typical High
$275.42

Where Virginia 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.

Virginia· 19th of 51

$240

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.