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Pennsylvania rates for HCPCS J9070

Cyclophosphamide, 100 mg

Facilitymedian $22 · 10th–90th $12–$260%20%10th90th$22Professionalmedian $22 · 10th–90th $2–$470%20%10th90th$22$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $22.39 / $26.30
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.29 / $5.62
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $42.66 / $61.66
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $21.88 / $25.70
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $22.39 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $22.39 / $26.92