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Histrelin (Supprelin LA) Implant

Montana rates for HCPCS J9226

Histrelin implant (Supprelin LA), 50 mg

Rates data updated July 2026.

How much does Supprelin LA (histrelin acetate) cost?

$45,709per 50 mg

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $45,709 for each 50 mg of this drug. The price depends on where it is billed: about $44,668 from a physician practice, and about $47,863 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
$44,668
At a hospital outpatient department
$47,863

The same drug, in the same amount, costs 7% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$44,668$40,738 to $50,119
FacilityA hospital or hospital-owned outpatient department$47,863$43,652 to $60,256

How much rates vary

Facilitymedian $47,863 · 10th to 90th $19,953 to $87,096Professionalmedian $44,668 · 10th to 90th $40,738 to $57,544
$100$1K$10K$100Kfacility $47,863professional $44,668

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
Professional
Modifier
Global
Typical Low
$40,738.03
Median
$44,668.36
Typical High
$50,118.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$70,794.58
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$114,815.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40,738.03
Median
$40,738.03
Typical High
$54,954.09
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$46,773.51
Typical High
$100,000.00
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$19,054.61
Median
$46,773.51
Typical High
$100,000.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$43,651.58
Typical High
$77,624.71
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$52,480.75
Typical High
$58,884.37
United
Setting
Professional
Modifier
Global
Typical Low
$43,651.58
Median
$43,651.58
Typical High
$58,884.37

Where Montana 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.

Montana· 5th of 51

$45,709

NY $56,234FL $40,738

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.