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Fomepizole Injection

Arizona rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

Facilitymedian $26 · 10th–90th $11$710%10%10th90th$26Professionalmedian $12 · 10th–90th $12$150%20%40%90th$12$10.0$20.0$50.0$100.0

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$26.30
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.59
Typical High
$14.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$46.77
Typical High
$83.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$23.99
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$22.39
Typical High
$23.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$16.60
Typical High
$75.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
United
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$6.61
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30