APC 09217

Leuprolide acetate injectable suspension

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Leuprolide acetate suspns

Payers reporting APC 09217

Payer pricing summary

Low

$21

Average

$253

Median

$201

High

$709

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +1 other terms	86	$166	$170	$7	4%	—	$128 – $178
2	Caresource fee schedule · outpatient	20	$171	$175	$2	1%	—	$171 – $176
3	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	11	$171	$171	—	—	—	$171 – $171
4	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	9	$176	$294	$236	80%	—	$160 – $1.2k
5	Aetna facility · fee schedule · outpatient · +2 other terms	7	$162	$169	$7	4%	—	$162 – $176
6	Medicare facility · fee schedule · outpatient · +1 other terms	7	$171	$303	$229	75%	—	$160 – $962
7	Clover fee schedule · outpatient	5	$171	$171	—	—	—	$171 – $171
8	Kaiser fee schedule · outpatient · +2 other terms	5	$176	$176	—	—	—	$176 – $176
9	WellCare fee schedule · outpatient · +1 other terms	5	$176	$176	—	—	—	$176 – $176
10	Ambetter facility · fee schedule · outpatient	3	$801	$709	$484	68%	—	$247 – $1.8k
11	Amerihealth Caritas facility · fee schedule · outpatient	3	$682	$606	$496	82%	—	$160 – $2.1k
12	Carefirst facility · fee schedule · outpatient	3	$171	$171	—	—	—	$171 – $171
13	Medica facility · fee schedule · outpatient	3	$178	$178	—	—	—	$178 – $178
14	Tricare facility · fee schedule · outpatient	3	$171	$171	—	—	—	$171 – $171
15	Cigna facility · fee schedule · outpatient	2	$433	$433	$259	60%	—	$160 – $962
16	Devoted facility · fee schedule · outpatient	1	$185	$185	—	—	—	$185 – $185
17	Highmark facility · fee schedule · outpatient · +1 other terms	1	$165	$165	$12	7%	—	$154 – $181
18	Molina facility · fee schedule · outpatient	1	$231	$231	$55	24%	—	$176 – $286
19	MultiPlan facility · percent of total billed charges · outpatientfrom % of charges	1	$21	$21	—	—	—	$21 – $21
20	Oscar facility · fee schedule · outpatient	1	$264	$264	—	—	—	$264 – $264