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Leuprolide Acetate

New York rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Rates data updated July 2026.

How much does Leuprolide Acetate cost?

$12.02per mg

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $12.02 for each mg of this drug. The price depends on where it is billed: about $12.02 from a physician practice, and about $51.29 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$12.02
At a hospital outpatient department
$51.29

The same drug, in the same amount, costs 327% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.02$9.77 to $50.12
FacilityA hospital or hospital-owned outpatient department$51.29$47.86 to $72.44

How much rates vary

Facilitymedian $51 · 10th to 90th $19 to $120Professionalmedian $12 · 10th to 90th $5 to $54
$10.0$100.0$1.0K$10.0Kfacility $51professional $12

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$47.86
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$50.12
Typical High
$51.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.85
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$85.11
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$32.36
Typical High
$81.28
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$53.70
Typical High
$53.70
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$58.88
Typical High
$58.88
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$165.96
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$10.00
Typical High
$53.70
Univera
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$61.66
Univera
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70

Where New York sits

The same service costs 4.3 times more in Delaware than in New York. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $12.02 · 51st of 51
DE $51.29NY $12.02

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.