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Fomepizole Injection

Connecticut rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

Facilitymedian $21 · 10th–90th $14$420%10%10th90th$21Professionalmedian $12 · 10th–90th $10$130%20%40%10th90th$12$10.0$20.0$50.0

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
$16.22
Median
$27.54
Typical High
$42.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$12.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$19.50
Typical High
$31.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.88
Typical High
$12.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$24.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.30
Typical High
$14.45