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Leuprolide Acetate Depot Suspension

New Hampshire rates for HCPCS J9217

Leuprolide acetate (for depot suspension), 7.5 mg

Rates data updated July 2026.

Facilitymedian $275 · 10th–90th $178$6920%10%20%10th90th$275Professionalmedian $178 · 10th–90th $178$2090%50%90th$178$200.0$500.0$1.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$213.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$467.74
Typical High
$776.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$346.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$177.83
Typical High
$229.09
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$245.47
Typical High
$269.15