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Leuprolide Acetate Depot Suspension

Wisconsin rates for HCPCS J9217

Leuprolide acetate (for depot suspension), 7.5 mg

Rates data updated July 2026.

Facilitymedian $245 · 10th–90th $178$1,3800%20%10th90th$245Professionalmedian $182 · 10th–90th $174$5250%20%40%10th90th$182$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$181.97
Median
$524.81
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$181.97
Typical High
$575.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$389.05
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$223.87
CareSource
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$338.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$275.42
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$223.87
Typical High
$346.74
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$338.84
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$354.81
Typical High
$630.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$158.49
Typical High
$870.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$173.78
Typical High
$2,454.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$70.79
Typical High
$169.82
Network Health
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$199.53
Network Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$190.55
Typical High
$323.59
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$338.84
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$354.81
Typical High
$354.81
Quartz
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$316.23
Typical High
$537.03
Quartz
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$537.03
Typical High
$1,412.54
Quartz
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$457.09
Typical High
$2,454.71
Security Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$269.15
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$190.55
Typical High
$524.81