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Fomepizole Injection

North Dakota rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

Facilitymedian $13 · 10th–90th $12$230%20%10th90th$13Professionalmedian $12 · 10th–90th $10$140%20%10th90th$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
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$23.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$15.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$13.18
Typical High
$13.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$8.51
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$18.20
Typical High
$20.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$13.49
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$15.49