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Elosulfase Alfa Injection

New Jersey rates for HCPCS J1322 · Vimizim

Injection, elosulfase alfa, 1 mg

Rates data updated July 2026.

How much does Vimizim (elosulfase alfa) cost?

$316per mg

Typical negotiated rate. In New Jersey, July 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 $501 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
$309
At a hospital outpatient department
$501

The same drug, in the same amount, costs 62% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 4 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$309$309 to $339
FacilityA hospital or hospital-owned outpatient department$501$407 to $851

How much rates vary

Facilitymedian $501 · 10th to 90th $363 to $9,120Professionalmedian $309 · 10th to 90th $309 to $501
$500$1K$2K$5K$10K$20Kfacility $501professional $309

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
Facility
Modifier
Global
Typical Low
$398.11
Median
$501.19
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$363.08
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$371.54
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$9,772.37
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$380.19
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$354.81

Where New Jersey 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.

New Jersey· 35th of 51

$316

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.