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Fomepizole Injection

California rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

Facilitymedian $15 · 10th–90th $13$300%20%10th90th$15Professionalmedian $13 · 10th–90th $12$250%20%40%10th90th$13$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
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$29.51
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.59
Typical High
$21.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$14.45
Typical High
$24.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.88
Typical High
$25.12
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$15.14
Typical High
$18.20
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$15.85
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$25.70
Typical High
$32.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
Providence
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$17.78
Typical High
$34.67
Providence
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$17.78
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$16.98
Typical High
$21.88
United
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$29.51
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$31.62