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Histrelin Implant (Vantas)

Utah rates for HCPCS J9225

Histrelin implant (Vantas), 50 mg

Rates data updated July 2026.

How much does Histrelin Implant (Vantas) cost?

$4,898per 50 mg

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $4,898 for each 50 mg of this drug. The price depends on where it is billed: about $4,898 from a physician practice, and about $4,898 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
$4,898
At a hospital outpatient department
$4,898

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 7 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$4,898$4,786 to $5,012
FacilityA hospital or hospital-owned outpatient department$4,898$4,898 to $4,898

How much rates vary

Facilitymedian $4,898 · 10th to 90th $4,898 to $5,012Professionalmedian $4,898 · 10th to 90th $4,677 to $5,012
$50.0$200.0$1.0K$5.0Kfacility $4,898professional $4,898

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
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$4,897.79
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$5,128.61
Typical High
$6,760.83
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$9,332.54
Typical High
$19,498.45
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,398.83
Typical High
$3,467.37
United
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$5,128.61

Where Utah sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Utah $4,898 · 43rd of 51
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.