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Elosulfase Alfa Injection

Montana rates for HCPCS J1322 · Vimizim

Injection, elosulfase alfa, 1 mg

Rates data updated July 2026.

How much does Vimizim (elosulfase alfa) cost?

$339per mg

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $339 for each mg of this drug. The price depends on where it is billed: about $339 from a physician practice, and about $331 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 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$339
At a hospital outpatient department
$331

The same drug, in the same amount, costs 2% less 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$339$309 to $380
FacilityA hospital or hospital-owned outpatient department$331$302 to $501

How much rates vary

Facilitymedian $331 · 10th to 90th $282 to $871Professionalmedian $339 · 10th to 90th $302 to $776
$100$1K$10K$100Kfacility $331professional $339

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
Professional
Modifier
Global
Typical Low
$338.84
Median
$380.19
Typical High
$776.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$331.13
Typical High
$87,096.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$338.84
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$302.00
Typical High
$851.14
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$302.00
Typical High
$851.14
Providence
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$724.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$309.03
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03

Where Montana sits

The same service costs 2.3 times more in Delaware than in Hawaii. 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.

Montana· 19th of 51

$339

DE $708HI $302

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.