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Elosulfase Alfa Injection

Pennsylvania rates for HCPCS J1322 · Vimizim

Injection, elosulfase alfa, 1 mg

Rates data updated July 2026.

How much does Vimizim (elosulfase alfa) cost?

$324per mg

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $324 for each mg of this drug. The price depends on where it is billed: about $316 from a physician practice, and about $468 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
$316
At a hospital outpatient department
$468

The same drug, in the same amount, costs 48% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 7 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$316$309 to $339
FacilityA hospital or hospital-owned outpatient department$468$316 to $813

How much rates vary

Facilitymedian $468 · 10th to 90th $309 to $912Professionalmedian $316 · 10th to 90th $309 to $468
$500$1Kfacility $468professional $316

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
$478.63
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$316.23
Typical High
$616.60
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$338.84
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$323.59
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$1,096.48
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$537.03
Typical High
$537.03
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$467.74
Typical High
$912.01
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$316.23
Typical High
$812.83
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$363.08
Typical High
$436.52
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$302.00
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$426.58

Where Pennsylvania 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.

Pennsylvania· 31st of 51

$324

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.