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Elosulfase Alfa Injection

Kentucky 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 Kentucky, 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 $380 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
$380

The same drug, in the same amount, costs 20% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$380$316 to $380

How much rates vary

Facilitymedian $380 · 10th to 90th $309 to $631Professionalmedian $316 · 10th to 90th $309 to $490
$500$1Kfacility $380professional $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
$316.23
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$380.19
Typical High
$724.44
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$316.23
Typical High
$316.23
CareSource
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$489.78
CareSource
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$323.59
Typical High
$436.52
Cigna
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$416.87
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$1,318.26
Typical High
$1,318.26
United
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$309.03

Where Kentucky 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.

Kentucky· 30th 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.