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Nevada rates for HCPCS J1451

Injection, fomepizole, 15 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.58 / $23.90 / $33.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.58 / $12.58 / $12.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.70 / $13.05 / $39.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $12.43 / $12.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.16 / $12.89 / $12.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.89 / $12.89 / $12.89
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.89 / $12.89 / $15.16
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.12 / $7.12 / $7.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.43 / $12.43 / $12.43