go back

Fomepizole Injection

Massachusetts rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

Facilitymedian $16 · 10th–90th $13$350%20%40%10th90th$16Professionalmedian $13 · 10th–90th $13$210%50%10th90th$13$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$20.89
Typical High
$30.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$21.88
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$21.88
Typical High
$39.81
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.30
Typical High
$15.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$28.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$26.92
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$16.22
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$13.18
Typical High
$7,079.46
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$21.38
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$21.88
Typical High
$39.81
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.30
Typical High
$15.14
United
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.88
Typical High
$13.49