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Cyclophosphamide

North Carolina rates for HCPCS J9070

Cyclophosphamide, 100 mg

Rates data updated July 2026.

How much does Cyclophosphamide cost?

$22.39per 100 mg

Typical physician fee. In North Carolina, July 2026.

Insurers have agreed to pay about $22.39 for each 100 mg of this drug. Most negotiated rates run $22.39 to $56.23.

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
$22.39

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

How much rates vary

Facilitymedian $148 · 10th to 90th $71 to $148Professionalmedian $22 · 10th to 90th $22 to $832
$2$10$50$200facility $148professional $22

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$70.79
Typical High
$75.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$26.30
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.04
Typical High
$2.04
Medcost
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$30.20
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76

Where North Carolina 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.

North Carolina· 33rd of 50

$22.39

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.