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Fomepizole Injection

Idaho rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated October 2026.

How much does Fomepizole Injection cost?

$12.30per 15 mg

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $12.30 for each 15 mg of this drug. The price depends on where it is billed: about $12.30 from a physician practice, and about $10.96 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per 15 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$12.30
At a hospital outpatient department
$10.96

The same drug, in the same amount, costs 11% less at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.30$8.13 to $12.88
FacilityA hospital or hospital-owned outpatient department$10.96$8.51 to $14.79

How much rates vary

Facilitymedian $11 · 10th to 90th $7 to $19Professionalmedian $12 · 10th to 90th $7 to $13
$10$20facility $11professional $12

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$13.18
Typical High
$13.18
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$7.24
Median
$11.22
Typical High
$19.05
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$12.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$14.13
Median
$14.45
Typical High
$34.67
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Moda Health
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$13.18
Typical High
$18.62
Moda Health
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$13.18
Typical High
$13.18
Molina
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$7.08
Median
$8.13
Typical High
$11.48
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$6.92
Median
$8.13
Typical High
$13.49
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$6.92
Median
$9.77
Typical High
$16.60
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Select Health
Setting
Facility
Modifier
None
Typical Low
$13.49
Median
$15.85
Typical High
$22.39
Select Health
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
United
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$12.30
Typical High
$19.95

Where Idaho sits

The same service costs 3.0 times more in Arizona than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Idaho· 31st of 51

$12.30

AZ $21.38HI $7.24

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.