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Fomepizole Injection

Colorado rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

How much does Fomepizole Injection cost?

$20.42per 15 mg

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $20.42 for each 15 mg of this drug. The price depends on where it is billed: about $12.02 from a physician practice, and about $23.99 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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
$12.02
At a hospital outpatient department
$23.99

The same drug, in the same amount, costs 100% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.02$12.02 to $12.02
FacilityA hospital or hospital-owned outpatient department$23.99$19.50 to $29.51

How much rates vary

Facilitymedian $24 · 10th to 90th $12 to $47Professionalmedian $12 · 10th to 90th $7 to $13
$10$20$50facility $24professional $12

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$26.30
Typical High
$51.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$14.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$24.55
Typical High
$46.77
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$9.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$13.80
Typical High
$17.78
Select Health
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Select Health
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
United
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$10.72
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30

Where Colorado sits

The same service costs 2.8 times more in Colorado 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.

Colorado· 1st of 51

$20.42

CO $20.42HI $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.