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Montana rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Facilitymedian $4,786 · 10th–90th $3,020–$7,4130%20%40%10th90th$4,786Professionalmedian $3,981 · 10th–90th $3,890–$4,7860%50%10th90th$3,981$0.1$0.5$5.0$50.0$500.0$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,981.07 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $5,248.07
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $5,623.41
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $5,623.41
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $4,786.30 / $7,762.47
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $4,786.30 / $4,786.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $5,623.41 / $6,165.95