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Fomepizole Injection

Michigan rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

How much does Fomepizole Injection cost?

$12.02per 15 mg

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $12.02 for each 15 mg of this drug. The price depends on where it is billed: about $12.02 from a physician practice, and about $21.38 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
$12.02
At a hospital outpatient department
$21.38

The same drug, in the same amount, costs 78% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 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$12.02$10.96 to $12.30
FacilityA hospital or hospital-owned outpatient department$21.38$13.49 to $28.18

How much rates vary

Facilitymedian $21 · 10th to 90th $10 to $34Professionalmedian $12 · 10th to 90th $8 to $18
$10.0$20.0$50.0facility $21professional $12

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
$12.02
Median
$21.38
Typical High
$33.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$16.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$16.60
Typical High
$33.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.59
Typical High
$7.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$12.88
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$33.88
Typical High
$43.65
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$16.22
Typical High
$21.88
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
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
$13.80

Where Michigan 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.

Michigan $12.02 · 46th 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.