Code: J9204

Description:
Description: Injection, mogamulizumab-kpkc, 1 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Other Descriptions:
MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLUTION
Inj mogamulizumab-kpkc, 1 mg
MOGAMULIZUMAB 1 MG INJJW
Related codes:
Code: J9200
FLOXURIDINE 500 MG INJ
Code: J9201
GEMCITBIN NOS 200 MG INJ
Code: J9202
GOSERELIN IMP 3.6 MG
Code: J9203
GEMTUZUMAB 4.5 MG INJ
Code: J9205
IRINOTECAN LIPO 43MG INJ
Code: J9206
IRINOTECAN 100 MG INJ
Code: J9207
IXABEPILONE 15 MG INJ
Code: J9208
IFOSFAMIDE 1 G INJ
Code: J9209
MESNA 200 MG INJ
Florida
Hospital Address Code Price Last Updated
Gulf Breeze Hospital 1110 Gulf Breeze Parkway, Gulf Breeze J9204 $1,345 [source] 4 years ago
Baptist Hospital 1000 West Moreno St, Pensacola J9204 $1,345 [source] 4 years ago
Jay Hospital 14114 Alabama Street, Jay J9204 $2,124 [source] 4 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City J9204 $2,966 [source] 4 years ago
Adventhealth Daytona Beach 301 Memorial Medical Pkwy, Daytona Beach J9204 $3,864 [source] 4 years ago
Adventhealth Deland 701 W. Plymouth Avenue, Deland J9204 $5,288 [source] 4 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring J9204 $6,539 [source] 4 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula J9204 $6,539 [source] 4 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills J9204 $7,580 [source] 4 years ago
Adventhealth New Smyrna Beach 401 Palmetto St, New Smyrna Beach J9204 $10,118 [source] 4 years ago
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando J9204 $10,423 [source] 4 years ago
Adventhealth Zephyrhills 7050 Gall Blvd, Zephyrhills J9204 $11,821 [source] 4 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares J9204 $12,440 [source] 4 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa J9204 $15,569 [source] 4 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa J9204 $15,569 [source] 4 years ago
Florida Hospital Carrollwood 7171 N Dale Mabry Hwy, Tampa J9204 $15,569 [source] 4 years ago
Florida Hospital North Pinellas 1395 S Pinellas Ave, Tarpon Springs J9204 $17,056 [source] 4 years ago
Cleveland Clinic Florida - Weston 2950 Cleveland Clinic Boulevard, Fort Lauderdale J9204 $18,757 [source] 4 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park J9204 $18,950 [source] 4 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando J9204 $18,950 [source] 4 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee J9204 $18,950 [source] 4 years ago
Adventhealth Winter Garden 10987 Sheldon Rd Ste 100, Tampa J9204 $18,950 [source] 4 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka J9204 $18,950 [source] 4 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando J9204 $18,950 [source] 4 years ago
Adventhealth Dade City 13100 Fort King Rd, Dade City J9204 $20,467 [source] 4 years ago
Adventhealth Ocala 1500 Sw 1St Ave, Ocala J9204 $21,894 [source] 4 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.