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Fomepizole Injection

Maryland rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

How much does Fomepizole Injection cost?

$12.88per 15 mg

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $12.88 for each 15 mg of this drug. Most negotiated rates run $12.88 to $12.88.

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

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $13 · 10th to 90th $12 to $13Professionalmedian $13 · 10th to 90th $12 to $13
$10$20$50facility $13professional $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. Small sample; interpret with caution. 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
$12.88
Typical High
$12.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.72
Typical High
$15.85
United
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$15.85
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59

Where Maryland sits

The same service costs 2.8 times more in Colorado 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.

Maryland· 19th of 51

$12.88

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.