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Fomepizole Injection

Georgia rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

Facilitymedian $13 · 10th–90th $11$620%20%40%10th90th$13Professionalmedian $13 · 10th–90th $12$150%20%40%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
$12.59
Median
$12.59
Typical High
$13.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.59
Typical High
$14.45
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$23.99
Typical High
$67.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$14.79
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$14.45
Typical High
$23.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$15.14
Typical High
$15.14
United
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$12.59
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$16.60