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Michigan rates for HCPCS J9204

Injection, mogamulizumab-kpkc, 1 mg

Facilitymedian $501 · 10th–90th $263–$8130%10%10th90th$501Professionalmedian $251 · 10th–90th $251–$3020%50%90th$251$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $501.19 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $562.34 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $257.04 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $251.19 / $251.19
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $457.09 / $812.83
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $263.03 / $346.74
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $251.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $251.19 / $251.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $257.04 / $302.00