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Nationwide rates for HCPCS J1451

Fomepizole, 15 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.89 / $15.16 / $28.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.43 / $12.58 / $12.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.93 / $13.98 / $26.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.37 / $12.43 / $12.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.89 / $12.89 / $12.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.89 / $12.89 / $12.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.29 / $9.29 / $9.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.43 / $12.43 / $14.12