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New Jersey rates for HCPCS J1451

Injection, fomepizole, 15 mg

Facilitymedian $19 · 10th–90th $15$2,2910%20%40%10th90th$19Professionalmedian $12 · 10th–90th $12$180%50%90th$12$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $19.50 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $12.88 / $17.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $15.14
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $10,471.29 / $25,118.86
Horizon BCBS
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
$5.89 / $7.59 / $13.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $14.13