Inj mogamulizumab-kpkc, 1 mg cost in Wisconsin
Inj mogamulizumab-kpkc, 1 mg · HCPCS J9204
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $263.44 – $662.44 | 5 |
| SSM Health Monroe Hospital | Monroe | not published | $243.63 – $663.28 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $217.73 – $248.50 | 9 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $193.90 – $472.14 | 5 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $193.90 – $472.14 | 5 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $193.90 – $472.14 | 5 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $263.44 – $662.44 | 5 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $193.90 – $662.44 | 8 |