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Histrelin Implant (Vantas)

Michigan rates for HCPCS J9225

Histrelin implant (Vantas), 50 mg

Rates data updated October 2026.

How much does Histrelin Implant (Vantas) cost?

$5,248per 50 mg

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $5,248 for each 50 mg of this drug. The price depends on where it is billed: about $5,248 from a physician practice, and about $11,482 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
$5,248
At a hospital outpatient department
$11,482

The same drug, in the same amount, costs 119% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5,248$4,677 to $5,370
FacilityA hospital or hospital-owned outpatient department$11,482$6,026 to $14,454

How much rates vary

Facilitymedian $11,482 · 10th to 90th $5,248 to $18,197Professionalmedian $5,248 · 10th to 90th $4,677 to $6,761
$5K$10K$20Kfacility $11,482professional $5,248

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
$12,882.50
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$5,495.41
Median
$10,715.19
Typical High
$19,054.61
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$5,011.87
Median
$5,248.07
Typical High
$5,248.07
BCBS Michigan
Setting
Professional
Modifier
JW · Drug discarded
Typical Low
$4,677.35
Median
$4,897.79
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$5,011.87
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$5,248.07
Median
$12,882.50
Typical High
$15,135.61
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$4,677.35
Median
$5,128.61
Typical High
$6,918.31
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Priority Health
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$4,365.16
Typical High
$5,011.87
United
Setting
Professional
Modifier
None
Typical Low
$4,897.79
Median
$5,370.32
Typical High
$5,754.40

Where Michigan 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.

Michigan· 10th of 51

$5,248

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.