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Factor IX Fc Fusion Protein (Alprolix) Injection

Idaho rates for HCPCS J7201

Injection, Factor IX, Fc fusion protein, (recombinant), Alprolix, 1 IU

Rates data updated July 2026.

How much does Alprolix cost?

$3.98per IU

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $3.98 for each IU of this drug. The price depends on where it is billed: about $3.98 from a physician practice, and about $4.47 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
$3.98
At a hospital outpatient department
$4.47

The same drug, in the same amount, costs 12% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$3.98$3.55 to $4.47
FacilityA hospital or hospital-owned outpatient department$4.47$3.89 to $5.37

How much rates vary

Facilitymedian $4 · 10th to 90th $4 to $8Professionalmedian $4 · 10th to 90th $4 to $4
$5$10facility $4professional $4

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
$3.55
Median
$3.55
Typical High
$4.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.98
Typical High
$4.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$4.90
Typical High
$7.94
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$5.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$4.07
Typical High
$9.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$3.55
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$4.47
Typical High
$4.47
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$4.47
Typical High
$4.47
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$5.37
Typical High
$8.91
Select Health
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$7.59
Select Health
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$3.55
United
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63

Where Idaho sits

The same service costs 2.5 times more in Delaware than in Georgia. 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.

Idaho· 18th of 51

$3.98

DE $8.71GA $3.55

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.