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Colorado rates for HCPCS J9204

Injection, mogamulizumab-kpkc, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $549.54 / $32,359.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $316.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $489.78 / $812.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $380.19 / $660.69
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $269.15