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Washington, DC rates for HCPCS J9204

Injection, mogamulizumab-kpkc, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.50 / $775.32 / $944.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.50 / $248.50 / $250.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.50 / $248.50 / $290.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.43 / $234.43 / $248.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.50 / $248.50 / $315.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.23 / $229.55 / $258.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.50 / $270.69 / $325.56