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Elosulfase Alfa Injection

Illinois rates for HCPCS J1322 · Vimizim

Injection, elosulfase alfa, 1 mg

Rates data updated October 2026.

How much does Vimizim (elosulfase alfa) cost?

$316per mg

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $316 for each mg of this drug. The price depends on where it is billed: about $316 from a physician practice, and about $646 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
$316
At a hospital outpatient department
$646

The same drug, in the same amount, costs 104% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$316$309 to $316
FacilityA hospital or hospital-owned outpatient department$646$427 to $977

How much rates vary

Facilitymedian $646 · 10th to 90th $316 to $1,318Professionalmedian $316 · 10th to 90th $295 to $339
$200$500$1K$2Kfacility $646professional $316

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
$281.84
Median
$316.23
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$1,023.29
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$645.65
Typical High
$758.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Hally Health
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$309.03
Typical High
$436.52
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
United
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$724.44
United
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$331.13

Where Illinois 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.

Illinois· 34th of 51

$316

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.