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Idursulfase Injection

New York rates for HCPCS J1743 · Elaprase

Injection, idursulfase, 1 mg

Rates data updated July 2026.

How much does Elaprase (idursulfase) cost?

$562per mg

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $562 for each mg of this drug. The price depends on where it is billed: about $562 from a physician practice, and about $724 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
$724

The same drug, in the same amount, costs 29% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 9 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$562 to $575
FacilityA hospital or hospital-owned outpatient department$724$562 to $933

How much rates vary

Facilitymedian $724 · 10th to 90th $562 to $1,230Professionalmedian $562 · 10th to 90th $562 to $794
$500$1Kfacility $724professional $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
$562.34
Median
$776.25
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$1,348.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$588.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$575.44
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$741.31
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$2,344.23
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$691.83
Typical High
$2,041.74
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$691.83
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$588.84
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$575.44
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$630.96
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$588.84
Typical High
$851.14
Univera
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$645.65
Univera
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$562.34
Typical High
$676.08

Where New York 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.

New York· 36th of 51

$562

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.