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Florida rates for HCPCS J1451

Injection, fomepizole, 15 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.13 / $14.47 / $1,832.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.13 / $12.58 / $12.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.47 / $12.89 / $12.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.89 / $12.89 / $12.89
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.89 / $13.83 / $14.38
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.89 / $12.89 / $12.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.43 / $12.43 / $15.73
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.43 / $12.43 / $12.43