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Fomepizole Injection

Alaska rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

How much does Fomepizole Injection cost?

$20.42per 15 mg

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $20.42 for each 15 mg of this drug. The price depends on where it is billed: about $20.42 from a physician practice, and about $21.38 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 15 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$20.42
At a hospital outpatient department
$21.38

The same drug, in the same amount, costs 5% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$20.42$20.42 to $21.38
FacilityA hospital or hospital-owned outpatient department$21.38$20.42 to $33.11

How much rates vary

Facilitymedian $21 · 10th to 90th $14 to $72Professionalmedian $20 · 10th to 90th $12 to $21
$10$50$200$1Kfacility $21professional $20

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$72.44
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$21.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$29.51
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$10.00
Typical High
$60.26
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$21.38
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$29.51
Providence
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$12.88
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$18.62
Typical High
$2,951.21

Where Alaska sits

The same service costs 2.8 times more in Colorado 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.

Alaska· 2nd of 51

$20.42

CO $20.42HI $7.24

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.