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Leuprolide Acetate Depot Suspension

South Dakota rates for HCPCS J9217

Leuprolide acetate (for depot suspension), 7.5 mg

Rates data updated July 2026.

Facilitymedian $263 · 10th–90th $174$6460%20%10th90th$263Professionalmedian $186 · 10th–90th $174$3550%50%10th90th$186$200.0$500.0$1.0K$2.0K

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
$501.19
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$371.54
Avera
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$181.97
Avera
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$223.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$263.03
Typical High
$467.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$173.78
Typical High
$2,454.71
Midlands
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$234.42
Typical High
$234.42
Midlands
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$190.55
Typical High
$239.88
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98