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Leuprolide Acetate Implant

Idaho rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Rates data updated October 2026.

How much does Leuprolide Acetate Implant cost?

$4,169per 65 mg

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $4,169 for each 65 mg of this drug. The price depends on where it is billed: about $4,169 from a physician practice, and about $6,761 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
$4,169
At a hospital outpatient department
$6,761

The same drug, in the same amount, costs 62% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,169$4,169 to $4,786
FacilityA hospital or hospital-owned outpatient department$6,761$5,495 to $10,000

How much rates vary

Facilitymedian $6,761 · 10th to 90th $4,786 to $12,303Professionalmedian $4,169 · 10th to 90th $3,311 to $5,623
$50$200$1K$5Kfacility $6,761professional $4,169

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$4,168.69
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,995.26
Median
$2,089.30
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$794.33
Median
$831.76
Typical High
$831.76
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$602.56
Median
$616.60
Typical High
$616.60
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$398.11
Median
$416.87
Typical High
$416.87
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$5,248.07
Median
$6,606.93
Typical High
$12,302.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$5,248.07
Median
$6,760.83
Typical High
$13,182.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Moda Health
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$4,168.69
Typical High
$5,888.44
Moda Health
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$4,168.69
Typical High
$4,168.69
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,995.26
Median
$2,089.30
Typical High
$2,089.30
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$794.33
Median
$831.76
Typical High
$831.76
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$602.56
Median
$616.60
Typical High
$616.60
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$398.11
Median
$416.87
Typical High
$416.87
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Select Health
Setting
Facility
Modifier
None
Typical Low
$8,709.64
Median
$10,000.00
Typical High
$14,125.38
Select Health
Setting
Professional
Modifier
None
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$8,511.38
United
Setting
Professional
Modifier
None
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$6,025.60

Where Idaho 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.

Idaho· 51st of 51

$4,169

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.