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
Michigan
Hospital Address Code Price Last Updated
St. John Providence 28000 Dequindre Rd, Warren J9204 $309 [source] 4 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester J9204 $361 [source] 4 years ago
Mclaren Northern Michigan 416 Connable Ave, Petoskey J9204 $419 [source] 4 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield J9204 $538 [source] 4 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren J9204 $603 [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.