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Mogamulizumab-kpkc Injection

North Carolina rates for HCPCS J9204 · Poteligeo

Injection, mogamulizumab-kpkc, 1 mg

Rates data updated July 2026.

How much does Poteligeo (mogamulizumab-kpkc) cost?

$269per mg

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $269 for each mg of this drug. The price depends on where it is billed: about $269 from a physician practice, and about $257 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 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$269
At a hospital outpatient department
$257

The same drug, in the same amount, costs 5% less 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 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$269$251 to $269
FacilityA hospital or hospital-owned outpatient department$257$240 to $339

How much rates vary

Facilitymedian $257 · 10th to 90th $214 to $468Professionalmedian $269 · 10th to 90th $224 to $295
$200$500facility $257professional $269

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
$213.80
Median
$251.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$251.19
Typical High
$302.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$416.87
Typical High
$524.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$407.38
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$295.12
Medcost
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$251.19
Typical High
$389.05
Medcost
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$416.87
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$269.15
Typical High
$281.84
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02

Where North Carolina 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.

North Carolina· 3rd of 51

$269

IA $275NY $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.