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Cyclophosphamide

Michigan rates for HCPCS J9070

Cyclophosphamide, 100 mg

Rates data updated July 2026.

How much does Cyclophosphamide cost?

$69.18per 100 mg

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $69.18 for each 100 mg of this drug. The price depends on where it is billed: about $69.18 from a physician practice, and about $72.44 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 100 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$69.18
At a hospital outpatient department
$72.44

The same drug, in the same amount, costs 5% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$69.18$26.30 to $83.18
FacilityA hospital or hospital-owned outpatient department$72.44$38.02 to $170

How much rates vary

Facilitymedian $72 · 10th to 90th $30 to $200Professionalmedian $69 · 10th to 90th $22 to $93
$10$100$1K$10Kfacility $72professional $69

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
CareSource
Setting
Facility
Modifier
Global
Typical Low
$48,977.88
Median
$48,977.88
Typical High
$48,977.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$23.44
Typical High
$35.48
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$72.44
Typical High
$199.53
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$75.86
Typical High
$93.33
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$22.39
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$22.39
Typical High
$39.81

Where Michigan sits

The same service costs 1862.1 times more in Kentucky than in Minnesota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 6th of 50

$69.18

KY $38,905MN $20.89

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.