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

Utah

Hospital	Address	Code	Price	Last Updated
Garfield Memorial Clinic	200 N 400 E, Panguitch	J9217	$1,808 [source]	4 years ago
Moab Regional Hospital	450 Williams Way, Moab	J9217	$5,678 [source]	4 years ago
Castleview Hospital	300 North Hospital Drive, Price	J9217	$8,833 [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 §180.