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Fomepizole Injection

Minnesota rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

Facilitymedian $17 · 10th–90th $6$230%10%10th90th$17Professionalmedian $12 · 10th–90th $7$130%20%40%10th90th$12$10.0$20.0$50.0

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
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.30
Typical High
$15.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$12.59
Typical High
$20.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.88
Typical High
$12.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$19.05
Typical High
$21.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$7.94
Typical High
$8.51
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$17.38
Typical High
$25.12
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$9.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$10.00
Typical High
$20.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$16.60
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
$22.91