go back

Factor VIII Injection

North Carolina rates for HCPCS J7207 · Adynovate

Injection, Factor VIII, (antihemophilic factor, recombinant), PEGylated, 1 IU

Rates data updated July 2026.

How much does Adynovate cost?

$2.57per IU

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $2.57 for each IU of this drug. The price depends on where it is billed: about $2.14 from a physician practice, and about $2.69 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
$2.14
At a hospital outpatient department
$2.69

The same drug, in the same amount, costs 26% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 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$2.14$1.95 to $2.82
FacilityA hospital or hospital-owned outpatient department$2.69$2.51 to $3.72

How much rates vary

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

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
$1.95
Median
$2.69
Typical High
$4.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$2.19
Typical High
$3.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.40
Median
$4.17
Typical High
$4.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.09
Typical High
$2.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.40
Median
$3.24
Typical High
$5.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.14
Typical High
$3.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1.95
Median
$2.14
Typical High
$2.51
United
Setting
Facility
Modifier
Global
Typical Low
$2.14
Median
$3.55
Typical High
$3.98
United
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.14
Typical High
$2.82
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11

Where North Carolina sits

The same service costs 2.3 times more in Delaware 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.

North Carolina· 10th of 51

$2.57

DE $4.90NE $2.14

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.