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Factor IX Fc Fusion Protein (Alprolix) Injection

Montana rates for HCPCS J7201

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

Rates data updated October 2026.

How much does Alprolix cost?

$4.07per IU

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $4.07 for each IU of this drug. The price depends on where it is billed: about $4.07 from a physician practice, and about $4.57 from a hospital or other facility.

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
$4.07
At a hospital outpatient department
$4.57

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4.07$3.55 to $4.57
FacilityA hospital or hospital-owned outpatient department$4.57$4.07 to $4.90

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $7Professionalmedian $4 · 10th to 90th $4 to $5
$5$10facility $5professional $4

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
Cigna
Setting
Facility
Modifier
None
Typical Low
$4.07
Median
$4.07
Typical High
$9.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$3.72
Median
$3.72
Typical High
$4.07
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$3.63
Median
$4.57
Typical High
$6.03
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$3.63
Median
$4.57
Typical High
$5.01
Providence
Setting
Facility
Modifier
None
Typical Low
$4.07
Median
$4.07
Typical High
$9.55
Providence
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
United
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$3.55
Typical High
$3.55

Where Montana sits

The same service costs 1.9 times more in Alaska than in Rhode Island. 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.

Montana· 12th of 51

$4.07

AK $6.61RI $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.