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Leuprolide Acetate Implant

Colorado rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Rates data updated October 2026.

How much does Leuprolide Acetate Implant cost?

$4,786per 65 mg

Typical negotiated rate. In Colorado, October 2026.

Insurers have agreed to pay about $4,786 for each 65 mg of this drug. The price depends on where it is billed: about $4,786 from a physician practice, and about $0.02 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per 65 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$4,786
At a hospital outpatient department
$0.02

The same drug, in the same amount, costs 100% less 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,786$4,786 to $4,786
FacilityA hospital or hospital-owned outpatient department$0.02$0.02 to $0.03

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $4,786Professionalmedian $4,786 · 10th to 90th $3,890 to $5,623
$0.1$1$10$100$1K$10Kfacility $0professional $4,786

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$7,762.47
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$4,073.80
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$0.02
Median
$0.02
Typical High
$0.03
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$6,760.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Denver HMP
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$4,365.16
Typical High
$6,760.83
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$346.74
United
Setting
Professional
Modifier
None
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$6,025.60
4 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$776.25
Median
$776.25
Typical High
$812.83
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$575.44
Median
$575.44
Typical High
$616.60
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$389.05
Median
$389.05
Typical High
$407.38

Where Colorado sits

The same service costs 1.5 times more in Alaska than in Idaho. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Colorado· 41st of 51

$4,786

AK $6,457ID $4,169

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.