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Leuprolide Acetate Implant

New Hampshire 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 New Hampshire, 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 $4,074 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
$4,074

The same drug, in the same amount, costs 15% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,786$4,571 to $4,786
FacilityA hospital or hospital-owned outpatient department$4,074$0.02 to $4,571

How much rates vary

Facilitymedian $4,074 · 10th to 90th $0 to $7,586Professionalmedian $4,786 · 10th to 90th $4,074 to $5,623
$0.1$1$10$100$1K$10Kfacility $4,074professional $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
$4,073.80
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$4,073.80
Typical High
$4,570.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$9,549.93
Typical High
$13,182.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$6,025.60
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$5,623.41
Typical High
$6,309.57

Where New Hampshire 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.

New Hampshire· 11th 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.