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Idursulfase Injection

Montana rates for HCPCS J1743 · Elaprase

Injection, idursulfase, 1 mg

Rates data updated July 2026.

How much does Elaprase (idursulfase) cost?

$603per mg

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $603 for each mg of this drug. The price depends on where it is billed: about $603 from a physician practice, and about $589 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
$603
At a hospital outpatient department
$589

The same drug, in the same amount, costs 2% less 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 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$603$575 to $676
FacilityA hospital or hospital-owned outpatient department$589$575 to $1,023

How much rates vary

Facilitymedian $589 · 10th to 90th $537 to $1,660Professionalmedian $603 · 10th to 90th $562 to $1,514
$100$1K$10K$100Kfacility $589professional $603

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
Professional
Modifier
Global
Typical Low
$602.56
Median
$676.08
Typical High
$1,513.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$758.58
Typical High
$87,096.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$616.60
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$575.44
Typical High
$1,659.59
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$575.44
Typical High
$1,659.59
Providence
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$1,621.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$562.34
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34

Where Montana sits

The same service costs 2.5 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.

Montana· 18th of 51

$603

DE $1,349HI $537

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.