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Fomepizole Injection

New Jersey rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

Facilitymedian $19 · 10th–90th $13$9,5500%20%10th90th$19Professionalmedian $13 · 10th–90th $10$190%50%10th90th$13$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$16.60
Median
$19.50
Typical High
$33.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$12.59
Typical High
$19.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$12.88
Typical High
$17.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$15.14
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
United
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$7.94
Typical High
$12.30
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$15.14