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Nationwide rates for HCPCS J1451

Injection, fomepizole, 15 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $19.95 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $15.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $15.14 / $28.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $12.30 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $8.51 / $12.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $6.46 / $13.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $15.49