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Fomepizole Injection

New Mexico rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

Facilitymedian $35 · 10th–90th $10$600%10%20%10th90th$35Professionalmedian $13 · 10th–90th $12$170%20%40%10th90th$13$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$16.98
Median
$28.84
Typical High
$28.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$16.98
Typical High
$16.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$38.02
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$25.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
Providence
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$15.14
Typical High
$25.70
Providence
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
United
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$10.72
Typical High
$12.30
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30