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Fomepizole Injection

Massachusetts rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

How much does Fomepizole Injection cost?

$12.88per 15 mg

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $12.88 for each 15 mg of this drug. The price depends on where it is billed: about $12.88 from a physician practice, and about $15.85 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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
$12.88
At a hospital outpatient department
$15.85

The same drug, in the same amount, costs 23% more 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.88$12.88 to $12.88
FacilityA hospital or hospital-owned outpatient department$15.85$14.45 to $20.89

How much rates vary

Facilitymedian $16 · 10th to 90th $13 to $35Professionalmedian $13 · 10th to 90th $13 to $21
$10.0$100.0$1.0K$10.0Kfacility $16professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Massachusetts sits

The same service costs 2.8 times more in Colorado than in Hawaii. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $12.88 · 26th of 51
CO $20.42HI $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.