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Kentucky rates for HCPCS J1451

Injection, fomepizole, 15 mg

Facilitymedian $8 · 10th–90th $8–$230%50%10th90th$8Professionalmedian $12 · 10th–90th $11–$150%50%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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $15.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.94 / $16.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.72 / $10.72
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $9.55
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.89 / $6.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $67.61 / $67.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.30