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Histrelin Implant (Vantas)

Indiana rates for HCPCS J9225

Histrelin implant (Vantas), 50 mg

Rates data updated October 2026.

How much does Histrelin Implant (Vantas) cost?

$5,129per 50 mg

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $5,129 for each 50 mg of this drug. The price depends on where it is billed: about $5,129 from a physician practice, and about $0.03 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per 50 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$5,129
At a hospital outpatient department
$0.03

The same drug, in the same amount, costs 100% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5,129$4,898 to $5,129
FacilityA hospital or hospital-owned outpatient department$0.03$0.02 to $6,918

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $13,804Professionalmedian $5,129 · 10th to 90th $4,677 to $5,888
$0.1$1$10$100$1K$10Kfacility $0professional $5,129

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
$4,677.35
Median
$4,677.35
Typical High
$9,332.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$933.25
Median
$933.25
Typical High
$977.24
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$707.95
Median
$707.95
Typical High
$724.44
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$467.74
Median
$467.74
Typical High
$489.78
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$0.02
Median
$0.02
Typical High
$6,760.83
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$5,495.41
Median
$12,302.69
Typical High
$13,803.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,888.44
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$2,290.87
Typical High
$15,488.17
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$4,677.35
Typical High
$7,413.10
United
Setting
Professional
Modifier
None
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$5,495.41

Where Indiana sits

The same service costs 1.8 times more in Alaska than in North Carolina. 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.

Indiana· 13th of 51

$5,129

AK $7,244NC $3,981

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.