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Mississippi rates for HCPCS J1451

Injection, fomepizole, 15 mg

Facilitymedian $7 · 10th–90th $6–$180%50%10th90th$7Professionalmedian $12 · 10th–90th $12–$180%50%90th$12$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
$12.02 / $12.02 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $18.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $6.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $13.80 / $18.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $6.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.30 / $19.05