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Oregon rates for HCPCS J9204

Injection, mogamulizumab-kpkc, 1 mg

Facilitymedian $288 · 10th–90th $251$5010%50%10th90th$288Professionalmedian $257 · 10th–90th $251$3310%50%10th90th$257$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

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
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$257.04
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$416.87
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$288.40
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$537.03
Typical High
$630.96
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$269.15
Typical High
$467.74
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$275.42
Typical High
$389.05
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$512.86
Providence
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$263.03
Typical High
$457.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$263.03
Typical High
$323.59
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$380.19
Typical High
$870.96
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$524.81
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$251.19
Typical High
$281.84