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Histrelin Implant (Vantas)

Maine rates for HCPCS J9225

Histrelin implant (Vantas), 50 mg

Rates data updated July 2026.

How much does Histrelin Implant (Vantas) cost?

$5,129per 50 mg

Typical negotiated rate. In Maine, July 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 $14,454 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 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
$14,454

The same drug, in the same amount, costs 182% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 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$5,129$5,012 to $5,129
FacilityA hospital or hospital-owned outpatient department$14,454$13,490 to $14,454

How much rates vary

Facilitymedian $14,454 · 10th to 90th $13,490 to $14,454Professionalmedian $5,129 · 10th to 90th $4,786 to $5,370
$5K$10Kfacility $14,454professional $5,129

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
$13,489.63
Median
$14,454.40
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,897.79
Typical High
$5,011.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.03
Median
$5,128.61
Typical High
$6,309.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$5,011.87
Typical High
$6,025.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$7,079.46
Typical High
$14,454.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$13,489.63
Typical High
$14,454.40
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$5,011.87
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$5,128.61
Typical High
$6,309.57

Where Maine 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.

Maine· 4th of 51

$5,129

NY $5,888NE $4,677

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.