go back

Elosulfase Alfa Injection

North Carolina 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 North Carolina, October 2026.

Insurers have agreed to pay about $316 for each mg of this drug. The price depends on where it is billed: about $309 from a physician practice, and about $479 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
$309
At a hospital outpatient department
$479

The same drug, in the same amount, costs 55% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$309$263 to $316
FacilityA hospital or hospital-owned outpatient department$479$363 to $603

How much rates vary

Facilitymedian $479 · 10th to 90th $263 to $676Professionalmedian $309 · 10th to 90th $263 to $363
$200$500$1Kfacility $479professional $309

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
$263.03
Median
$263.03
Typical High
$389.05
Aetna
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$331.13
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$131.83
Median
$131.83
Typical High
$165.96
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$52.48
Median
$52.48
Typical High
$66.07
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$39.81
Median
$39.81
Typical High
$48.98
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$26.30
Median
$26.30
Typical High
$33.11
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$549.54
Typical High
$645.65
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$331.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$478.63
Typical High
$724.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$363.08
Medcost
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$380.19
Medcost
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
United
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$407.38

Where North Carolina 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.

North Carolina· 32nd 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.