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Elosulfase Alfa Injection

Texas rates for HCPCS J1322 · Vimizim

Injection, elosulfase alfa, 1 mg

Rates data updated October 2026.

How much does Vimizim (elosulfase alfa) cost?

$324per mg

Typical negotiated rate. In Texas, October 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 $575 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
$316
At a hospital outpatient department
$575

The same drug, in the same amount, costs 82% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$316$309 to $316
FacilityA hospital or hospital-owned outpatient department$575$363 to $891

How much rates vary

Facilitymedian $575 · 10th to 90th $309 to $1,175Professionalmedian $316 · 10th to 90th $309 to $324
$200$500$1K$2Kfacility $575professional $316

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
$316.23
Median
$501.19
Typical High
$676.08
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$158.49
Median
$251.19
Typical High
$338.84
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$64.57
Median
$100.00
Typical High
$134.90
Aetna
Setting
Facility
Modifier
55 · Aftercare only
Typical Low
$47.86
Median
$74.13
Typical High
$102.33
Aetna
Setting
Facility
Modifier
56 · Pre-op care only
Typical Low
$31.62
Median
$50.12
Typical High
$67.61
Aetna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$323.59
Typical High
$354.81
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$158.49
Median
$162.18
Typical High
$173.78
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$64.57
Median
$64.57
Typical High
$70.79
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$47.86
Median
$47.86
Typical High
$52.48
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$31.62
Median
$32.36
Typical High
$35.48
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$616.60
Typical High
$1,202.26
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$602.56
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Moda Health
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$407.38
Typical High
$758.58
Moda Health
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$316.23
Typical High
$346.74
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$154.88
Median
$158.49
Typical High
$162.18
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$63.10
Median
$63.10
Typical High
$64.57
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$46.77
Median
$46.77
Typical High
$48.98
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$30.90
Median
$31.62
Typical High
$32.36
Molina
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Providence
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$457.09
Typical High
$2,754.23
Providence
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
United
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
United
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$309.03

Where Texas 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.

Texas· 21st of 51

$324

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.