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Fomepizole Injection

Iowa rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

Facilitymedian $12 · 10th–90th $12$150%50%10th90th$12Professionalmedian $15 · 10th–90th $11$150%20%40%10th$15$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$12.30
Median
$15.14
Typical High
$23.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$15.14
Typical High
$15.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$8.51
Typical High
$8.51
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$20.89
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$8.13
Typical High
$18.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$12.30
Typical High
$16.60
Midlands
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$18.62
United
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$6.61
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$13.18
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30