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Factor IX Albumin Fusion Protein (Idelvion) Injection

New Jersey 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 New Jersey, 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 $5.50 from a physician practice, and about $7.41 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
$5.50
At a hospital outpatient department
$7.41

The same drug, in the same amount, costs 35% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5.50$5.13 to $5.50
FacilityA hospital or hospital-owned outpatient department$7.41$5.50 to $11.48

How much rates vary

Facilitymedian $7 · 10th to 90th $5 to $19Professionalmedian $5 · 10th to 90th $5 to $6
$5$10$20facility $7professional $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
$5.50
Median
$5.50
Typical High
$10.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$5.50
Typical High
$5.62
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.75
Median
$2.75
Typical High
$2.75
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.10
Median
$1.10
Typical High
$1.12
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.83
Median
$0.83
Typical High
$0.83
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.55
Median
$0.55
Typical High
$0.56
Cigna
Setting
Facility
Modifier
None
Typical Low
$5.50
Median
$6.17
Typical High
$8.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$5.37
Median
$11.48
Typical High
$19.95
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$5.13
Median
$5.13
Typical High
$5.13
United
Setting
Facility
Modifier
None
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
United
Setting
Professional
Modifier
None
Typical Low
$5.37
Median
$5.37
Typical High
$6.46

Where New Jersey 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.

New Jersey· 26th 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.