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Fomepizole Injection

Kentucky rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

Facilitymedian $8 · 10th–90th $8$230%50%10th90th$8Professionalmedian $12 · 10th–90th $11$220%20%40%10th90th$12$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
$12.02
Median
$12.02
Typical High
$25.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$21.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.94
Typical High
$15.14
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.72
Typical High
$10.72
CareSource
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$9.55
CareSource
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.89
Typical High
$6.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$85.11
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$67.61
Typical High
$67.61
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
$12.30