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Cyclophosphamide

North Carolina rates for HCPCS J9070

Cyclophosphamide, 100 mg

Rates data updated October 2026.

How much does Cyclophosphamide cost?

$7.08per 100 mg

Typical physician fee. In North Carolina, October 2026.

Insurers have agreed to pay about $7.08 for each 100 mg of this drug. Most negotiated rates run $4.37 to $7.08.

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
$7.08

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $63 · 10th to 90th $63 to $76Professionalmedian $7 · 10th to 90th $4 to $56
$5$10$20$50facility $63professional $7

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$75.86
BCBS North Carolina
Setting
Professional
Modifier
None (both parts)
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Medcost
Setting
Professional
Modifier
None
Typical Low
$2.04
Median
$2.04
Typical High
$2.04
Medcost
Setting
Professional
Modifier
None (both parts)
Typical Low
$4.37
Median
$7.08
Typical High
$56.23
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$1.74
Median
$2.82
Typical High
$3.63
Medcost
Setting
Professional
Modifier
50 · Both sides
Typical Low
$6.46
Median
$10.47
Typical High
$13.49
Medcost
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$2.19
Median
$3.47
Typical High
$4.47
Medcost
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$0.87
Median
$1.41
Typical High
$1.82
Medcost
Setting
Professional
Modifier
81 · Minimal assistant surgeon
Typical Low
$0.62
Median
$0.98
Typical High
$1.26
Medcost
Setting
Professional
Modifier
82 · Assistant surgeon, no resident
Typical Low
$0.62
Median
$0.98
Typical High
$1.26
Medcost
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$0.62
Median
$0.98
Typical High
$1.26
Medcost
Setting
Professional
Modifier
TC · Technical part
Typical Low
$2.57
Median
$4.17
Typical High
$5.37
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$23.99
Median
$23.99
Typical High
$23.99

Where North Carolina sits

The same service costs 19.5 times more in Washington, DC than in New York. 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· 41st of 43

$7.08

DC $117NY $6.03

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.