go back

Factor VIII Fc Fusion Protein Injection

Pennsylvania rates for HCPCS J7205 · Eloctate

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

Rates data updated July 2026.

How much does Eloctate cost?

$2.51per IU

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $2.51 for each IU of this drug. The price depends on where it is billed: about $2.51 from a physician practice, and about $3.72 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
$2.51
At a hospital outpatient department
$3.72

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$2.51$2.45 to $2.63
FacilityA hospital or hospital-owned outpatient department$3.72$2.51 to $6.31

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $7Professionalmedian $3 · 10th to 90th $2 to $4
$2$5$10facility $4professional $3

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
$2.45
Median
$3.80
Typical High
$6.92
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$2.51
Typical High
$4.90
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.69
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$2.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$8.71
Typical High
$9.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$2.45
Typical High
$2.45
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$2.45
Typical High
$2.45
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$4.27
Typical High
$4.27
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$3.72
Typical High
$6.92
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$2.51
Typical High
$6.31
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$2.14
Median
$2.88
Typical High
$6.17
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.14
Typical High
$2.45
United
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$2.45
Typical High
$2.45
United
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$2.45
Typical High
$3.39

Where Pennsylvania sits

The same service costs 2.2 times more in Delaware than in Massachusetts. 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· 34th of 51

$2.51

DE $5.50MA $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.