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
Oklahoma
Hospital Address Code Price Last Updated
St. John Owasso 12451 E 100Th St N, Owasso J9204 $201 [source] 4 years ago
St. John Medical Center 1923 S Utica Ave, Tulsa J9204 $201 [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.