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Leuprolide Acetate Implant

Texas rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Rates data updated July 2026.

How much does Leuprolide Acetate Implant cost?

$3,981per 65 mg

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $3,981 for each 65 mg of this drug. The price depends on where it is billed: about $3,981 from a physician practice, and about $4,786 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
$3,981
At a hospital outpatient department
$4,786

The same drug, in the same amount, costs 20% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$3,981$3,890 to $4,365
FacilityA hospital or hospital-owned outpatient department$4,786$3,981 to $5,754

How much rates vary

Facilitymedian $4,786 · 10th to 90th $3,890 to $8,128Professionalmedian $3,981 · 10th to 90th $3,890 to $5,623
$2K$5K$10Kfacility $4,786professional $3,981

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
$3,890.45
Median
$4,786.30
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,981.07
Typical High
$4,570.88
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$11,220.18
Typical High
$32,359.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$9,772.37
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$14,454.40
Median
$14,454.40
Typical High
$22,908.68
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$4,786.30
Typical High
$6,606.93
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$6,918.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$4,786.30
Typical High
$6,760.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$1,258.93
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$6,025.60
Typical High
$6,309.57
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$6,456.54

Where Texas 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.

Texas· 46th of 51

$3,981

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.