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Leuprolide Acetate Implant

Massachusetts rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Rates data updated July 2026.

How much does Leuprolide Acetate Implant cost?

$4,786per 65 mg

Typical negotiated rate. In Massachusetts, July 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 $5,248 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 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
$5,248

The same drug, in the same amount, costs 10% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 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$4,786$4,074 to $4,786
FacilityA hospital or hospital-owned outpatient department$5,248$4,786 to $6,607

How much rates vary

Facilitymedian $5,248 · 10th to 90th $4,074 to $10,000Professionalmedian $4,786 · 10th to 90th $3,890 to $6,026
$50$200$1K$5Kfacility $5,248professional $4,786

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
$4,073.80
Median
$5,248.07
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$4,073.80
Typical High
$4,073.80
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$12,022.64
Typical High
$15,848.93
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$5,623.41
Typical High
$6,760.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$9,549.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$8,709.64
Typical High
$20,892.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$4,897.79
Typical High
$8,511.38
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$6,025.60
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$12,022.64
Typical High
$15,848.93
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$5,623.41
Typical High
$6,760.83
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$4,786.30
Typical High
$6,309.57

Where Massachusetts sits

Rates are fairly even across states for this service. 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.

Massachusetts· 7th of 51

$4,786

KS $5,623NE $3,890

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.