go back

Leuprolide Acetate Implant

North Carolina rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Rates data updated July 2026.

How much does Leuprolide Acetate Implant cost?

$4,074per 65 mg

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $4,074 for each 65 mg of this drug. The price depends on where it is billed: about $4,074 from a physician practice, and about $4,677 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
$4,074
At a hospital outpatient department
$4,677

The same drug, in the same amount, costs 15% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 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$4,074$3,981 to $4,074
FacilityA hospital or hospital-owned outpatient department$4,677$4,074 to $5,370

How much rates vary

Facilitymedian $4,677 · 10th to 90th $3,981 to $6,761Professionalmedian $4,074 · 10th to 90th $3,890 to $5,623
$50$200$1K$5Kfacility $4,677professional $4,074

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
$4,365.16
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$4,073.80
Typical High
$4,073.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$14,454.40
Typical High
$15,488.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$7,762.47
Typical High
$11,481.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$5,623.41
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$4,677.35
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$6,025.60
Typical High
$6,309.57
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$9,772.37
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$14,454.40
Median
$22,908.68
Typical High
$22,908.68

Where North Carolina 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.

North Carolina· 32nd of 51

$4,074

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.