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Elosulfase Alfa Injection

Maine 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 physician fee. In Maine, October 2026.

Insurers have agreed to pay about $316 for each mg of this drug. Most negotiated rates run $316 to $389.

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

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

How much rates vary

Facilitymedian $389 · 10th to 90th $302 to $912Professionalmedian $316 · 10th to 90th $309 to $457
$500$1Kfacility $389professional $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
Professional
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$389.05
Typical High
$645.65
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$316.23
Typical High
$354.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$912.01
Cigna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$316.23
Typical High
$549.54
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
United
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$549.54

Where Maine 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.

Maine· 45th 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.