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HANK Price Transparency. (n.d.).
Histrelin LA 50 mg Device (OTHER 908021750) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 29, 2026 , from http://ppman.hank.ai/transparency/procedure/908021750/by-state?code_type=OTHER
“Histrelin LA 50 mg Device (OTHER 908021750) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/908021750/by-state?code_type=OTHER. Accessed
June 29, 2026 .
“Histrelin LA 50 mg Device (OTHER 908021750) by State,” HANK Price Transparency ,
accessed June 29, 2026 ,
http://ppman.hank.ai/transparency/procedure/908021750/by-state?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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OTHER · across United States
908021750 — Histrelin La 50 Mg Device
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$134,406
National median
$120,367 – $145,968
IQR (p25 – p75)
2
hospitals filing
2
states
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 908021750 (OTHER), with interquartile range
State Median p25 p75
KS $134,406 $121,089 $145,348
MO $134,406 $121,812 $144,729