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Pennsylvania rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Facilitymedian $7,762 · 10th–90th $4,074–$11,4820%20%10th90th$7,762Professionalmedian $4,074 · 10th–90th $3,890–$5,6230%50%10th90th$4,074$1.0$10.0$100.0$1.0K$10.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $7,762.47 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,981.07 / $4,786.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $4,677.35 / $8,511.38
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $4,677.35
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $16,982.44 / $18,197.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $4,786.30
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $5,623.41
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,737.80 / $4,786.30
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $7,585.78 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,981.07 / $4,570.88
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $8,511.38 / $9,772.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $5,623.41 / $6,760.83