Code: J9217

Description:
Description: Leuprolide acetate (for depot suspension), 7.5 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Other Descriptions:
LEUPRO DEPOT 22.5 MG INJ
LEUPRO DEPOT 30 MG INJ
LEUPRO DEPOT 45 MG INJ
LEUPRO DEPOT 15 MG INJ
Leuprolide Acetate 7.5 Mg
LEUPROLIDE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT
LEUPROLIDE 7.5 MG INTRAMUSCULAR SYRINGE KIT
LEUPROLIDE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE
LEUPROLIDE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE
Related codes:
Code: J9210
EMAPALUMAB-LZSG 5 MG/ML INTRAVENOUS SOLUTION
Code: J9211
IDARUBICIN HCL 5 MG INJ
Code: J9212
Description: Injection, interferon alfacon-1, recombinant, 1 microgram
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Code: J9213
INTERF ALFA2A 3MIL U INJ
Code: J9214
INTER ALFA2B 1MIL U INJ
Code: J9215
Description: Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Code: J9216
INTER GAMMA 1B 3M U INJ
Code: J9218
LEUPROLIDE ACET 1 MG INJ
Code: J9219
Description: Leuprolide acetate implant, 65 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Idaho
Hospital Address Code Price Last Updated
Bear Lake Memorial Hospital 164 S 5Th St, Montpelier J9217 $688 [source] 4 years ago
St. Joseph Regional Medical Center 415 6Th St, Lewiston J9217 $1,010 [source] 4 years ago
St. Joseph Regional Medical Center 415 Sixth Street, Lewiston J9217 $1,010 [source] 4 years ago
Kootenai Health 2003 Kootenai Health Way, Coeur D Alene J9217 $2,012 [source] 4 years ago
North Canyon Medical Center 267 North Canyon Drive, Gooding J9217 $2,106 [source] 4 years ago
Steele Memorial Medical Center 203 S Daisy St, Salmon J9217 $2,173 [source] 4 years ago
Bonner General Hospital 520 N 3Rd Ave, Sandpoint J9217 $3,416 [source] 4 years ago
West Valley Medical Center 1717 Arlington Ave., Caldwell J9217 $8,047 [source] 4 years ago
Eastern Idaho Regional Medical Center 3100 Channing Way, Idaho Falls J9217 $16,513 [source] 4 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.