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California rates for HCPCS J1451

Injection, fomepizole, 15 mg

Facilitymedian $15 · 10th–90th $13$330%20%10th90th$15Professionalmedian $12 · 10th–90th $12$210%50%90th$12$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $30.90 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $19.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $14.45 / $26.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $26.30
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $14.45 / $18.62
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $15.85 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $25.70 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $17.78 / $34.67
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $17.78
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $21.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $29.51 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $30.90