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Factor IX Albumin Fusion Protein (Idelvion) Injection

Pennsylvania 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?

$5.50per IU

Typical negotiated rate. In Pennsylvania, July 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 $7.94 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
$5.37
At a hospital outpatient department
$7.94

The same drug, in the same amount, costs 48% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$5.37$5.37 to $5.75
FacilityA hospital or hospital-owned outpatient department$7.94$5.37 to $13.80

How much rates vary

Facilitymedian $8 · 10th to 90th $5 to $15Professionalmedian $5 · 10th to 90th $5 to $8
$5$10$20facility $8professional $5

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
$8.13
Typical High
$15.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$10.47
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$5.75
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$18.62
Typical High
$19.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$5.37
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$5.37
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$9.33
Typical High
$9.33
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$8.13
Typical High
$15.14
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$13.80
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$6.17
Typical High
$7.59
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$5.50
United
Setting
Facility
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
$7.41

Where Pennsylvania 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.

Pennsylvania· 29th of 51

$5.50

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.