go back

Fomepizole Injection

California rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated October 2026.

How much does Fomepizole Injection cost?

$12.88per 15 mg

Typical negotiated rate. In California, October 2026.

Insurers have agreed to pay about $12.88 for each 15 mg of this drug. The price depends on where it is billed: about $12.88 from a physician practice, and about $13.49 from a hospital or other facility.

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
$12.88
At a hospital outpatient department
$13.49

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.88$12.59 to $15.49
FacilityA hospital or hospital-owned outpatient department$13.49$11.22 to $18.62

How much rates vary

Facilitymedian $13 · 10th to 90th $9 to $27Professionalmedian $13 · 10th to 90th $12 to $26
$2$5$10$20$50facility $13professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$12.59
Median
$12.59
Typical High
$22.91
Aetna
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$8.51
Median
$12.88
Typical High
$24.55
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$1.20
Median
$12.88
Typical High
$26.92
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$14.45
Typical High
$22.91
Blue Shield
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$14.45
Typical High
$30.90
Central California Alliance for Health
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$19.50
Typical High
$22.39
Cigna
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$25.70
Typical High
$38.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Molina
Setting
Professional
Modifier
None
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
Providence
Setting
Facility
Modifier
None
Typical Low
$12.59
Median
$18.20
Typical High
$34.67
Providence
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$16.60
United
Setting
Facility
Modifier
None
Typical Low
$6.17
Median
$6.17
Typical High
$29.51
United
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$12.30
Typical High
$34.67

Where California sits

The same service costs 3.0 times more in Arizona 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.

California· 16th of 51

$12.88

AZ $21.38HI $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.