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Leuprolide Acetate Implant

Pennsylvania 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 Pennsylvania, 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 $6,761 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
$6,761

The same drug, in the same amount, costs 66% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,074$3,981 to $4,677
FacilityA hospital or hospital-owned outpatient department$6,761$5,754 to $9,772

How much rates vary

Facilitymedian $6,761 · 10th to 90th $4,074 to $12,023Professionalmedian $4,074 · 10th to 90th $3,890 to $5,623
$50$200$1K$5K$20Kfacility $6,761professional $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
$6,918.31
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$4,073.80
Typical High
$4,570.88
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$4,677.35
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$16,982.44
Typical High
$18,197.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$5,623.41
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,698.24
Typical High
$4,786.30
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$6,165.95
Typical High
$11,481.54
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$4,073.80
Typical High
$6,025.60
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$8,912.51
Typical High
$9,772.37
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$18,197.01
Typical High
$18,620.87
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$5,623.41
Typical High
$6,918.31

Where Pennsylvania 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.

Pennsylvania· 21st 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.