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Idursulfase Injection

South Dakota 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 South Dakota, 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 $575 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
$575

The same drug, in the same amount, costs 2% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 7 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 $617
FacilityA hospital or hospital-owned outpatient department$575$562 to $575

How much rates vary

Facilitymedian $575 · 10th to 90th $562 to $646Professionalmedian $562 · 10th to 90th $562 to $708
$500$1Kfacility $575professional $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
$562.34
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$707.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$870.96
Typical High
$1,513.56
Medica
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$562.34
Typical High
$562.34
Midlands
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$562.34
Typical High
$645.65
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34

Where South Dakota 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.

South Dakota· 40th 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.