Factor IX Albumin Fusion Protein (Idelvion) Injection

Connecticut rates for HCPCS J7202

Injection, Factor IX, albumin fusion protein, (recombinant), Idelvion, 1 IU

Rates data updated October 2026.

How much does Idelvion (coagulation factor ix recombinant human) cost?

$6.03per IU

Typical negotiated rate. In Connecticut, October 2026.

Insurers have agreed to pay about $6.03 for each IU of this drug. The price depends on where it is billed: about $5.50 from a physician practice, and about $7.76 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.

Amount givenIU

In a doctor's office or clinic: $5.50
At a hospital outpatient department: $7.76

The same drug, in the same amount, costs 41% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$5.50	$5.50 to $5.75
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$7.76	$6.17 to $9.55

How much rates vary

Facilitymedian $8 · 10th to 90th $6 to $13Professionalmedian $5 · 10th to 90th $5 to $6

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $8.71 Median $10.96 Typical High $12.02	Facility	None	$8.71	$10.96	$12.02
Aetna Setting Professional Modifier None Typical Low $5.62 Median $5.75 Typical High $5.75	Professional	None	$5.62	$5.75	$5.75
Anthem BCBS Setting Facility Modifier None Typical Low $5.75 Median $7.94 Typical High $14.13	Facility	None	$5.75	$7.94	$14.13
Anthem BCBS Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50	Professional	None	$5.50	$5.50	$5.50
Cigna Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $10.47	Facility	None	$6.17	$6.17	$10.47
Cigna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50	Professional	None	$5.50	$5.50	$5.50
ConnectiCare Setting Professional Modifier None Typical Low $5.75 Median $6.03 Typical High $6.92	Professional	None	$5.75	$6.03	$6.92
United Setting Professional Modifier None Typical Low $4.79 Median $5.37 Typical High $6.31	Professional	None	$4.79	$5.37	$6.31

Where Connecticut sits

The same service costs 1.7 times more in Alaska than in Nebraska. 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.

Connecticut· 11th of 51

$6.03

AK $9.33NE $5.37

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.