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Fomepizole Injection

North Carolina rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

How much does Fomepizole Injection cost?

$15.14per 15 mg

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $15.14 for each 15 mg of this drug. The price depends on where it is billed: about $15.14 from a physician practice, and about $15.14 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
$15.14
At a hospital outpatient department
$15.14

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$15.14$12.88 to $15.14
FacilityA hospital or hospital-owned outpatient department$15.14$12.88 to $15.49

How much rates vary

Facilitymedian $15 · 10th to 90th $11 to $16Professionalmedian $15 · 10th to 90th $12 to $15
$10$20$50$100facility $15professional $15

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
$12.88
Median
$15.14
Typical High
$15.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$15.14
Typical High
$15.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$13.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$19.50
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$15.14
Medcost
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$15.14
Typical High
$18.20
United
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$10.72
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$16.22
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00

Where North Carolina sits

The same service costs 2.8 times more in Colorado than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 5th of 51

$15.14

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.