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Nevada rates for HCPCS J1451

Injection, fomepizole, 15 mg

Facilitymedian $25 · 10th–90th $11–$360%10%20%10th90th$25Professionalmedian $12 · 10th–90th $12–$150%50%90th$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $25.12 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $15.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $13.18 / $39.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $19.50 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.30 / $15.14