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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 July 2026.

How much does Alprolix cost?

$4.07per IU

Typical negotiated rate. In Montana, July 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 $3.72 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
$4.07
At a hospital outpatient department
$3.72

The same drug, in the same amount, costs 9% less 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4.07$3.72 to $6.76
FacilityA hospital or hospital-owned outpatient department$3.72$3.72 to $4.90

How much rates vary

Facilitymedian $4 · 10th to 90th $3 to $10Professionalmedian $4 · 10th to 90th $4 to $10
$5$10$20$50facility $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
Professional
Modifier
Global
Typical Low
$3.89
Median
$4.37
Typical High
$9.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$9.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$4.07
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$3.72
Typical High
$10.47
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.72
Typical High
$10.47
Providence
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$9.55
Providence
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$5.13
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63

Where Montana 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.

Montana· 13th of 51

$4.07

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.