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Fomepizole Injection

Mississippi rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

Facilitymedian $7 · 10th–90th $7$180%50%10th90th$7Professionalmedian $15 · 10th–90th $12$180%20%10th90th$15$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
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$18.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$14.79
Typical High
$18.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$13.80
Typical High
$18.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
United
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$6.92
Typical High
$6.92
United
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.30
Typical High
$19.05