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Elosulfase Alfa Injection

South Carolina rates for HCPCS J1322 · Vimizim

Injection, elosulfase alfa, 1 mg

Rates data updated July 2026.

How much does Vimizim (elosulfase alfa) cost?

$331per mg

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $331 for each mg of this drug. The price depends on where it is billed: about $331 from a physician practice, and about $389 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
$331
At a hospital outpatient department
$389

The same drug, in the same amount, costs 17% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$331$302 to $331
FacilityA hospital or hospital-owned outpatient department$389$309 to $513

How much rates vary

Facilitymedian $389 · 10th to 90th $224 to $871Professionalmedian $331 · 10th to 90th $263 to $407
$200$500$1Kfacility $389professional $331

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
$331.13
Median
$436.52
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$331.13
Typical High
$501.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$363.08
Typical High
$676.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$354.81
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$436.52
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$363.08
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$346.74

Where South Carolina 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.

South Carolina· 24th of 51

$331

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.