go back

Cyclophosphamide

Wisconsin rates for HCPCS J9070

Cyclophosphamide, 100 mg

Rates data updated July 2026.

How much does Cyclophosphamide cost?

$35.48per 100 mg

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $35.48 for each 100 mg of this drug. The price depends on where it is billed: about $35.48 from a physician practice, and about $41.69 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
$35.48
At a hospital outpatient department
$41.69

The same drug, in the same amount, costs 17% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$35.48$22.39 to $40.74
FacilityA hospital or hospital-owned outpatient department$41.69$26.92 to $57.54

How much rates vary

Facilitymedian $42 · 10th to 90th $26 to $85Professionalmedian $35 · 10th to 90th $21 to $832
$20$50$100$200$500facility $42professional $35

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$30.20
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$40.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$831.76
Typical High
$831.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Quartz
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$147.91
Quartz
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$831.76
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$22.39
Typical High
$22.39

Where Wisconsin 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.

Wisconsin· 10th of 50

$35.48

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.