go back

Factor VIII Fc Fusion Protein Injection

Georgia rates for HCPCS J7205 · Eloctate

Injection, Factor VIII Fc fusion protein (recombinant), per IU

Rates data updated October 2026.

How much does Eloctate cost?

$2.57per IU

Typical negotiated rate. In Georgia, October 2026.

Insurers have agreed to pay about $2.57 for each IU of this drug. The price depends on where it is billed: about $2.57 from a physician practice, and about $4.79 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
$2.57
At a hospital outpatient department
$4.79

The same drug, in the same amount, costs 86% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$2.57$2.45 to $2.57
FacilityA hospital or hospital-owned outpatient department$4.79$2.95 to $8.51

How much rates vary

Facilitymedian $5 · 10th to 90th $3 to $9Professionalmedian $3 · 10th to 90th $2 to $3
$2$5$10facility $5professional $3

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
$2.57
Median
$2.57
Typical High
$2.57
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.57
Median
$2.57
Typical High
$3.31
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$2.45
Median
$8.51
Typical High
$9.12
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$1.91
Median
$2.57
Typical High
$2.63
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.95
Median
$4.79
Typical High
$6.92
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.57
Median
$2.57
Typical High
$2.57
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$2.09
Median
$3.98
Typical High
$6.03
United
Setting
Professional
Modifier
None
Typical Low
$2.45
Median
$2.45
Typical High
$3.55
5 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1.29
Median
$1.29
Typical High
$1.66
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.52
Median
$0.52
Typical High
$0.66
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$1.95
Median
$1.95
Typical High
$2.04
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.39
Median
$0.39
Typical High
$0.50
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.26
Median
$0.26
Typical High
$0.33

Where Georgia sits

The same service costs 1.8 times more in Alaska than in Maryland. 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.

Georgia· 29th of 51

$2.57

AK $4.47MD $2.45

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.