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Minnesota rates for HCPCS J9204

Injection, mogamulizumab-kpkc, 1 mg

Facilitymedian $380 · 10th–90th $240$7760%20%10th90th$380Professionalmedian $263 · 10th–90th $229$2750%50%10th90th$263$200.0$500.0$1.0K

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
$251.19 / $251.19 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $380.19 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $269.15 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $812.83 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $257.04 / $302.00
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $741.31 / $891.25
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $257.04
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $467.74
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $263.03 / $645.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $251.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $251.19 / $354.81