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HCPCS J9204
MOGAMULIZUMAB-KPKC IV SOLN 20 MG/5ML (4 MG/ML) - as described in hospitals' own price files.
6hospitals publishing a price
$11,752median cash price
-median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Providence Queen Of The Valley Medical Center | Napa, CA | $11,384 | - | $22,322 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $11,752 | - | $24,483 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $11,752 | - | $24,483 | - |
| Swedish Issaquah | Issaquah, WA | $11,752 | - | $24,483 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $16,449 | - | $23,498 | - |
| Providence Alaska Medical Center | Anchorage, AK | $20,693 | - | $26,530 | - |
Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.
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