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Idursulfase Injection

North Carolina rates for HCPCS J1743 · Elaprase

Injection, idursulfase, 1 mg

Rates data updated July 2026.

How much does Elaprase (idursulfase) cost?

$575per mg

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $575 for each mg of this drug. The price depends on where it is billed: about $562 from a physician practice, and about $661 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
$562
At a hospital outpatient department
$661

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 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$562$537 to $912
FacilityA hospital or hospital-owned outpatient department$661$562 to $1,000

How much rates vary

Facilitymedian $661 · 10th to 90th $537 to $1,096Professionalmedian $562 · 10th to 90th $537 to $1,047
$500$1Kfacility $661professional $562

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
$537.03
Median
$660.69
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$562.34
Typical High
$1,047.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$794.33
Typical High
$1,148.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$645.65
Medcost
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$562.34
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$912.01
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$724.44
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38

Where North Carolina 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.

North Carolina· 32nd of 51

$575

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.