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Factor IX Albumin Fusion Protein (Idelvion) Injection

North Carolina 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?

$5.50per IU

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $5.50 for each IU of this drug. The price depends on where it is billed: about $5.37 from a physician practice, and about $8.32 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
$5.37
At a hospital outpatient department
$8.32

The same drug, in the same amount, costs 55% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$5.37$4.90 to $5.50
FacilityA hospital or hospital-owned outpatient department$8.32$6.17 to $10.47

How much rates vary

Facilitymedian $8 · 10th to 90th $5 to $12Professionalmedian $5 · 10th to 90th $5 to $7
$5$10facility $8professional $5

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
Facility
Modifier
None
Typical Low
$4.90
Median
$4.90
Typical High
$7.41
Aetna
Setting
Professional
Modifier
None
Typical Low
$4.90
Median
$4.90
Typical High
$5.62
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.45
Median
$2.45
Typical High
$2.82
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.00
Median
$1.00
Typical High
$1.12
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.74
Median
$0.74
Typical High
$0.85
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.50
Median
$0.50
Typical High
$0.56
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$7.08
Median
$10.47
Typical High
$11.75
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$4.57
Median
$4.57
Typical High
$5.62
Cigna
Setting
Facility
Modifier
None
Typical Low
$6.17
Median
$8.32
Typical High
$12.30
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$5.50
Typical High
$6.61
Medcost
Setting
Facility
Modifier
None
Typical Low
$4.90
Median
$4.90
Typical High
$6.61
Medcost
Setting
Professional
Modifier
None
Typical Low
$4.90
Median
$4.90
Typical High
$4.90
United
Setting
Professional
Modifier
None
Typical Low
$5.37
Median
$5.37
Typical High
$6.92

Where North Carolina 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.

North Carolina· 22nd of 51

$5.50

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.