Factor IX Albumin Fusion Protein (Idelvion) Injection

Rhode Island 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?

$5.37per IU

Typical negotiated rate. In Rhode Island, October 2026.

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

Amount givenIU

In a doctor's office or clinic: $5.37
At a hospital outpatient department: $5.50

The same drug, in the same amount, costs 2% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$5.37	$5.37 to $5.75
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$5.50	$5.37 to $5.89

How much rates vary

Facilitymedian $5 · 10th to 90th $5 to $7Professionalmedian $5 · 10th to 90th $5 to $6

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75	Professional	None	$5.75	$5.75	$5.75
BCBS Rhode Island Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $5.89	Facility	None	$5.37	$5.37	$5.89
BCBS Rhode Island Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37	Professional	None	$5.37	$5.37	$5.37
Cigna Setting Facility Modifier None Typical Low $5.50 Median $7.08 Typical High $11.22	Facility	None	$5.50	$7.08	$11.22
Cigna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50	Professional	None	$5.50	$5.50	$5.50
United Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50	Facility	None	$5.50	$5.50	$5.50
United Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37	Professional	None	$5.37	$5.37	$5.37

Where Rhode Island 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.

Rhode Island· 49th of 51

$5.37

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.