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Factor VIII (Xyntha) Injection

Pennsylvania rates for HCPCS J7185

Injection, Factor VIII (antihemophilic factor, recombinant) (Xyntha), per IU

Rates data updated July 2026.

How much does Xyntha cost?

$1.58per IU

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1.58 for each IU of this drug. The price depends on where it is billed: about $1.51 from a physician practice, and about $2.24 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per IU. Enter the amount given to see what insurers have agreed to pay for it.

IU
In a doctor's office or clinic
$1.51
At a hospital outpatient department
$2.24

The same drug, in the same amount, costs 48% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.51$1.48 to $1.62
FacilityA hospital or hospital-owned outpatient department$2.24$1.51 to $3.80

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $5Professionalmedian $2 · 10th to 90th $1 to $3
$10.0$100.0$1.0K$10.0Kfacility $2professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1.48
Median
$2.51
Typical High
$4.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$1.51
Typical High
$2.51
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$1.62
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$1.55
Typical High
$1.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.48
Median
$5.25
Typical High
$5.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$1.48
Typical High
$1.48
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1.48
Median
$1.48
Typical High
$1.48
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.57
Typical High
$2.57
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$2.29
Typical High
$4.37
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$1.51
Typical High
$3.63
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.91
Typical High
$3.80
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$1.55
Typical High
$1.55
United
Setting
Facility
Modifier
Global
Typical Low
$1.48
Median
$1.48
Typical High
$1.48
United
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$1.58
Typical High
$2.34

Where Pennsylvania sits

The same service costs 2.2 times more in Delaware than in Georgia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $1.58 · 23rd of 51
DE $3.24GA $1.48

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.