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Minnesota rates for HCPCS J1451

Injection, fomepizole, 15 mg

Facilitymedian $19 · 10th–90th $6–$230%20%40%10th90th$19Professionalmedian $13 · 10th–90th $7–$130%20%40%10th90th$13$10.0$20.0

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
$15.14 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $15.14
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $19.50 / $20.42
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $12.88 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $22.91 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $7.94 / $8.51
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $21.38 / $25.12
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $9.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $10.00 / $20.42
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $16.60
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 / $22.91