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Hawaii rates for HCPCS J1451

Injection, fomepizole, 15 mg

Professionalmedian $12 · 10th–90th $7$150%50%10th90th$12$10.0$20.0

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $12.30 / $18.62