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Factor IX Albumin Fusion Protein (Idelvion) Injection

Idaho rates for HCPCS J7202

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

Rates data updated July 2026.

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

$5.89per IU

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $5.89 for each IU of this drug. The price depends on where it is billed: about $5.89 from a physician practice, and about $6.61 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
$5.89
At a hospital outpatient department
$6.61

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$5.89$5.37 to $6.61
FacilityA hospital or hospital-owned outpatient department$6.61$5.37 to $7.59

How much rates vary

Facilitymedian $7 · 10th to 90th $5 to $11Professionalmedian $6 · 10th to 90th $5 to $7
$5$10facility $7professional $6

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
$5.37
Median
$5.37
Typical High
$6.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$5.89
Typical High
$6.61
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$7.59
Typical High
$12.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$8.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$6.03
Typical High
$13.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$5.37
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$6.61
Typical High
$6.61
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$6.61
Typical High
$6.61
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$7.59
Typical High
$12.88
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$11.22
Select Health
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$5.37
United
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$5.37

Where Idaho sits

The same service costs 2.3 times more in Delaware than in Washington, DC. 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· 19th of 51

$5.89

DE $12.30DC $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.