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Alaska rates for HCPCS J1451

Injection, fomepizole, 15 mg

Facilitymedian $30 · 10th–90th $20–$1,3800%20%10th90th$30Professionalmedian $12 · 10th–90th $12–$220%20%40%10th90th$12$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $1,380.38 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $29.51 / $1,380.38
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.59 / $60.26
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $21.38 / $33.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $29.51
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $12.88 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $18.62 / $2,951.21