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Fomepizole Injection

Florida rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

Facilitymedian $13 · 10th–90th $12$500%10%20%10th90th$13Professionalmedian $13 · 10th–90th $12$130%50%10th90th$13$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
$12.02
Median
$16.22
Typical High
$50.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.59
Typical High
$12.88
AvMed
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$6.61
AvMed
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$18.20
Typical High
$18.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$19.50
Typical High
$25.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$13.80
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
United
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$10.72
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$13.18
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30