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Leuprolide Acetate Depot Suspension

Utah rates for HCPCS J9217

Leuprolide acetate (for depot suspension), 7.5 mg

Rates data updated July 2026.

Facilitymedian $251 · 10th–90th $178$5890%20%10th90th$251Professionalmedian $182 · 10th–90th $174$4680%50%10th90th$182$50.0$100.0$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
$204.17
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$181.97
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$245.47
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$190.55
Molina
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$177.83
Typical High
$239.88
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$346.74
Typical High
$457.09
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$257.04
Select Health
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Select Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$177.83
Typical High
$1,288.25
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$190.55