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Fomepizole Injection

Alaska rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

Facilitymedian $21 · 10th–90th $14$720%20%40%10th90th$21Professionalmedian $20 · 10th–90th $12$210%50%10th90th$20$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
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