J9217 — Leuprolide acetate (for depot suspension), 7.5 mg

What the market charges

Across 2,285 negotiated rates, the middle 80% fall between $160 and $484, with a median of $247.

What Medicare pays

Medicare allowed an average of $177 for this code, across 495,105.9 services billed by 3,290 providers. At the median, the market charges 1.4 times what Medicare pays for this code.

Where this is billed, and what it costs there

The states billing J9217 most, by Medicare service volume, each compared against the national average of $177. Each links to the providers Mishe lists there.

  • California — 314 providers billed it, Medicare allowed $176 — 1% below the national average
  • Florida — 300 providers billed it, Medicare allowed $177 — level with the national average
  • Texas — 254 providers billed it, Medicare allowed $177 — level with the national average
  • Maryland — 99 providers billed it, Medicare allowed $176 — 1% below the national average
  • Illinois — 137 providers billed it, Medicare allowed $177 — level with the national average
  • Virginia — 126 providers billed it, Medicare allowed $176 — 1% below the national average
  • New Jersey — 124 providers billed it, Medicare allowed $177 — level with the national average
  • Arizona — 128 providers billed it, Medicare allowed $177 — level with the national average

Deploy this for your team

Every figure on this page came from published payer and Medicare data, assembled by Mishe. The same pricing, claim-editing and care-pathway intelligence runs underneath the plans Mishe operates.

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