go back

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 October 2026.

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

$6.61per IU

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $6.61 for each IU of this drug. The price depends on where it is billed: about $6.17 from a physician practice, and about $6.92 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
$6.17
At a hospital outpatient department
$6.92

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$6.17$5.50 to $6.92
FacilityA hospital or hospital-owned outpatient department$6.92$6.17 to $8.91

How much rates vary

Facilitymedian $7 · 10th to 90th $5 to $13Professionalmedian $6 · 10th to 90th $5 to $7
$5$10facility $7professional $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
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$6.92
Typical High
$6.92
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$5.62
Median
$7.94
Typical High
$12.88
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$8.71
Typical High
$8.71
Cigna
Setting
Facility
Modifier
None
Typical Low
$6.03
Median
$6.31
Typical High
$14.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
Moda Health
Setting
Facility
Modifier
None
Typical Low
$5.50
Median
$6.92
Typical High
$6.92
Moda Health
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$6.61
Typical High
$6.92
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$6.03
Median
$6.17
Typical High
$8.13
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$5.25
Median
$6.46
Typical High
$6.92
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$5.37
Median
$7.59
Typical High
$12.88
Select Health
Setting
Facility
Modifier
None
Typical Low
$5.50
Median
$5.50
Typical High
$11.48
Select Health
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$5.50
Typical High
$7.76
United
Setting
Professional
Modifier
None
Typical Low
$5.37
Median
$5.37
Typical High
$8.51

Where Idaho 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.

Idaho· 4th of 51

$6.61

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.