go back

Mogamulizumab-kpkc Injection

South Dakota 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 South Dakota, July 2026.

Insurers have agreed to pay about $269 for each mg of this drug. The price depends on where it is billed: about $263 from a physician practice, and about $275 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
$263
At a hospital outpatient department
$275

The same drug, in the same amount, costs 5% more 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 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$263$251 to $288
FacilityA hospital or hospital-owned outpatient department$275$251 to $295

How much rates vary

Facilitymedian $275 · 10th to 90th $251 to $490Professionalmedian $263 · 10th to 90th $240 to $302
$200$500$1Kfacility $275professional $263

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
$251.19
Median
$251.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$295.12
Avera
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$251.19
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$251.19
Typical High
$302.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$501.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$275.42
Typical High
$1,071.52
Midlands
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$316.23
Typical High
$371.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$269.15
Typical High
$302.00
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42

Where South Dakota 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.

South Dakota· 2nd 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.