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Factor IX (Recombinant) Injection

Pennsylvania rates for HCPCS J7195 · BeneFIX

Injection, Factor IX (antihemophilic factor, recombinant) per IU, not otherwise specified

Rates data updated July 2026.

How much does BeneFIX cost?

$1.91

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1.91 for this service. The price depends on where it is billed: about $1.86 from a physician practice, and about $2.69 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 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$1.86$1.82 to $2.04
FacilityA hospital or hospital-owned outpatient department$2.69$1.86 to $4.79

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $5Professionalmedian $2 · 10th to 90th $2 to $3
$2$5$10facility $3professional $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
$1.82
Median
$2.75
Typical High
$5.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.86
Typical High
$2.75
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$2.00
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$1.91
Typical High
$1.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$6.46
Typical High
$6.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$1.82
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$1.82
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$3.16
Typical High
$3.16
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$5.89
Typical High
$6.03
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1.86
Median
$2.75
Typical High
$5.13
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.86
Typical High
$4.79
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1.29
Median
$2.34
Typical High
$4.79
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1.66
Median
$1.66
Typical High
$1.91
United
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$1.82
United
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$2.51

Where Pennsylvania sits

The same service costs 2.4 times more in Delaware than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 30th of 51

$1.91

DE $4.37VT $1.82

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.