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Leuprolide Acetate Depot Suspension

Ohio rates for HCPCS J9217

Leuprolide acetate (for depot suspension), 7.5 mg

Rates data updated July 2026.

Facilitymedian $331 · 10th–90th $178$5890%10%20%10th90th$331Professionalmedian $178 · 10th–90th $178$3020%50%90th$178$2.0$10.0$50.0$200.0$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
$380.19
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$263.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$630.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$199.53
Typical High
$302.00
Aultcare
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
CareSource
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$257.04
CareSource
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$346.74
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$302.00
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$346.74
Typical High
$575.44
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$363.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$194.98
Typical High
$251.19
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$218.78
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$181.97
Typical High
$229.09