Home Drug Codes J Codes J0637 · CANCIDAS
Updated July 1st, 2026

CANCIDAS J Code: J0637

Injection, caspofungin acetate, 5 mg

Login to unlock all benchmarks

Q4 2026 Medicare Payment Limit for J0637, effective October 1, 2026: $2.463 per HCPCS billing unit, down 14.4% from $2.879. From CMS's final file.

?
Medicare Payment Limit ?
$2.879
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
$•••.••
Login to view
WAC · AWP ?
$•••.••
Login to view
NDCs Crosswalked ?
15
View NDC crosswalk →

Drug & Product Overview

HCPCS Descriptor Injection, caspofungin acetate, 5 mg
HCPCS Added Date January 1, 2003
Manufacturer Multiple Manufacturers
Route of Administration Intravenous
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection, Powder, Lyophilized, For Solution | Not Available

About CANCIDAS

Cancidas is a medication aligned to the HCPCS J Code: J0637 for billing, pricing, and reimbursement purposes in the United States. It is an Anti-Fungal drug administered via the intravenous route and manufactured by multiple companies.

According to CMS Drug Use Information: Caspofungin is used to treat a variety of fungal infections. Caspofungin belongs to a class of drugs known as echinocandins. It works by stopping the growth of fungi.

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

Based on publicly available CMS files. Showing 5 of 15 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00006-3822-10 Cancidas Merck Sharp & Dohme LLC 10 54 MG / 10.8 ML
00781-3421-94 Caspofungin Acetate Sandoz Inc 10 54 MG / 10.8 ML
25021-0194-10 Caspofungin Acetate Sagent Pharmaceuticals 10 50 MG / 10 ML
59923-0613-70 Caspofungin Acetate Areva Pharmaceuticals 14 70 MG
63323-0356-10 Caspofungin Acetate Fresenius Kabi USA, LLC 100 54 MG / 10.8 ML
•••••-••••-•• Log in to view CANCIDAS
CANCIDAS
CANCIDAS
Login to view 10 more NDC packages View pricing, complete NDC-to-HCPCS alignments, and package details.
Login →

CANCIDAS Pricing & Reimbursement

J0637 Private Payer Reimbursement
$3.59 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →
UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

Caspofungin Acetate 505(b)(2) Information:

HCPCS Code Manufacturer Active Ingredient HCPCS Description
J0637 Generic Code (Multiple Manufacturers) Caspofungin Acetate Injection, caspofungin acetate, 5 mg

CANCIDAS CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)
Not on the CMS JW / JZ list

CMS does not include Cancidas (J0637) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0637. Wastage billing guide →

CANCIDAS Medically Unlikely Edits (MUE)

The most billing units of J0637 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 5 mg.

Practitioner Office & Hospital Outpatient
20 units / day
= 100 mg per day

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

CANCIDAS Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Candidemia and Other Candida Infections Empirical Therapy for Presumed Fungal Infections in Febrile Neutropenic Patients Esophageal Candidiasis Invasive Aspergillosis
Drug Class
Echinocandin Antifungal [EPC]Lipopeptides [CS]

Login for BuyandBill.com Analytics

Unlock deeper insights with BuyandBill’s Comparative Report!

  • Compare ASP, WAC, and AWP across drugs.
  • Visualize Drug Price Movement Over Time
  • Tailor reports to drug class, manufacturer, or HCPCS Code.
  • Compare Biosimilar and 505(b)(2) products.

Frequently Asked Questions

Is there an available Cancidas billing and coding guide?
We have not yet identified a manufacturer source of Cancidas billing and coding information.
Are there any available Cancidas patient assistance programs?
Our team did not identify a source for Cancidas patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Cancidas prescribing information?
CANCIDAS prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date. Visit Here →
Where can I find Cancidas side effect information?
Our team has not yet identified a source of side effects information for CANCIDAS. Please check back in a few weeks.
Does billing CANCIDAS require JZ/JW wastage modifiers?
CMS does not include CANCIDAS (J0637) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0637. For more information, visit the link below.

About BuyandBill.com:

The BuyandBill.com team is dedicated to delivering high-quality coding and billing information for office-administered drugs. We continuously research HCPCS-coded medications to expand our resources and ensure data accuracy. Manufacturers: click here to sponsor your medication, and we will ensure the most accurate and detailed information is displayed.