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Elosulfase Alfa Injection

Idaho rates for HCPCS J1322 · Vimizim

Injection, elosulfase alfa, 1 mg

Rates data updated October 2026.

How much does Vimizim (elosulfase alfa) cost?

$372per mg

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $372 for each mg of this drug. The price depends on where it is billed: about $355 from a physician practice, and about $372 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$355
At a hospital outpatient department
$372

The same drug, in the same amount, costs 5% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$355$316 to $398
FacilityA hospital or hospital-owned outpatient department$372$339 to $407

How much rates vary

Facilitymedian $372 · 10th to 90th $316 to $525Professionalmedian $355 · 10th to 90th $309 to $437
$500facility $372professional $355

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
Professional
Modifier
None
Typical Low
$316.23
Median
$398.11
Typical High
$398.11
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$371.54
Typical High
$524.81
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$371.54
Typical High
$524.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$363.08
Typical High
$812.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Moda Health
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$398.11
Typical High
$398.11
Moda Health
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$389.05
Typical High
$398.11
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$467.74
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$371.54
Typical High
$398.11
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$389.05
Typical High
$741.31
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$380.19
Select Health
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$676.08
Select Health
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$457.09
United
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$501.19

Where Idaho sits

The same service costs 1.6 times more in Arizona than in Rhode Island. 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.

Idaho· 5th of 51

$372

AZ $501RI $309

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.