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
Ohio
Hospital Address Code Price Last Updated
Euclid Hospital 18901 Lakeshore Blvd., Cleveland J9204 $18,757 [source] 4 years ago
Cleveland Clinic Main Campus 9500 Euclid Ave, Cleveland J9204 $18,757 [source] 4 years ago
Medina Hospital 1000 E. Washington St., Medina J9204 $18,757 [source] 4 years ago
Akron General Lodi Hospital 225 Elyria St., Lodi J9204 $18,757 [source] 4 years ago
Lutheran Hospital 1730 West 25Th Street, Cleveland J9204 $18,757 [source] 4 years ago
Fairview Hospital 18101 Lorain Ave., Cleveland J9204 $18,757 [source] 4 years ago
South Pointe Hospital 20000 Harvard Rd., Cleveland J9204 $18,757 [source] 4 years ago
Hillcrest Hospital 6780 Mayfield Rd., Cleveland J9204 $18,757 [source] 4 years ago
Akron General 1 Akron General Ave., Akron J9204 $18,757 [source] 4 years ago
Marymount Hospital 12300 Mccracken Road, Cleveland J9204 $18,757 [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.