go back

Leuprolide Acetate Implant

Pennsylvania rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Rates data updated October 2026.

How much does Leuprolide Acetate Implant cost?

$4,677per 65 mg

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $4,677 for each 65 mg of this drug. The price depends on where it is billed: about $4,677 from a physician practice, and about $6,310 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
$4,677
At a hospital outpatient department
$6,310

The same drug, in the same amount, costs 35% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,677$4,074 to $4,786
FacilityA hospital or hospital-owned outpatient department$6,310$4,677 to $8,318

How much rates vary

Facilitymedian $6,310 · 10th to 90th $4,169 to $18,197Professionalmedian $4,677 · 10th to 90th $4,074 to $5,623
$5K$10Kfacility $6,310professional $4,677

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$6,165.95
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,168.69
Median
$4,677.35
Typical High
$5,623.41
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$4,677.35
Typical High
$4,677.35
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,786.30
Median
$8,128.31
Typical High
$18,620.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$5,128.61
Median
$5,623.41
Typical High
$5,623.41
Geisinger
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,737.80
Typical High
$5,011.87
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$6,165.95
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$9,772.37
Median
$11,220.18
Typical High
$11,220.18
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$14,454.40
United
Setting
Professional
Modifier
None
Typical Low
$5,128.61
Median
$5,754.40
Typical High
$6,309.57

Where Pennsylvania 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.

Pennsylvania· 50th of 51

$4,677

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.