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Elosulfase Alfa Injection

New York rates for HCPCS J1322 · Vimizim

Injection, elosulfase alfa, 1 mg

Rates data updated July 2026.

How much does Vimizim (elosulfase alfa) cost?

$309per mg

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $309 for each mg of this drug. The price depends on where it is billed: about $309 from a physician practice, and about $407 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
$407

The same drug, in the same amount, costs 32% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 9 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 $316
FacilityA hospital or hospital-owned outpatient department$407$309 to $513

How much rates vary

Facilitymedian $407 · 10th to 90th $309 to $692Professionalmedian $309 · 10th to 90th $309 to $389
$2$10$50$200$1Kfacility $407professional $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
$309.03
Median
$436.52
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$741.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$323.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$263.03
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$407.38
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$1,318.26
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$380.19
Typical High
$1,122.02
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$389.05
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$323.59
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$323.59
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$660.69
Typical High
$53,703.18
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$371.54
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$316.23
Typical High
$478.63
Univera
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$363.08
Univera
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$323.59
Typical High
$371.54

Where New York 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 York· 45th of 51

$309

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.