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Fomepizole Injection

Idaho rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

Facilitymedian $13 · 10th–90th $8$190%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
$12.88
Median
$12.88
Typical High
$12.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.88
Typical High
$13.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$11.22
Typical High
$19.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$12.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.45
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$13.18
Typical High
$18.62
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$15.85
Typical High
$15.85
Molina
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$9.77
Typical High
$16.60
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$12.59
Select Health
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$15.85
Typical High
$22.39
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.88