go back

Fomepizole Injection

New York rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated October 2026.

How much does Fomepizole Injection cost?

$12.30per 15 mg

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $12.30 for each 15 mg of this drug. The price depends on where it is billed: about $12.30 from a physician practice, and about $13.18 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per 15 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$12.30
At a hospital outpatient department
$13.18

The same drug, in the same amount, costs 7% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.30$12.30 to $13.18
FacilityA hospital or hospital-owned outpatient department$13.18$12.02 to $13.18

How much rates vary

Facilitymedian $13 · 10th to 90th $7 to $16Professionalmedian $12 · 10th to 90th $11 to $15
$10$20$50facility $13professional $12

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$10.47
Median
$12.88
Typical High
$30.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$10.47
Typical High
$12.02
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$6.61
Median
$6.61
Typical High
$6.76
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$12.30
Typical High
$12.88
CDPHP
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$7.08
Median
$7.08
Typical High
$85.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$67.61
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$7.24
Median
$12.88
Typical High
$20.89
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$15.85
Excellus BCBS
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$13.18
Typical High
$13.18
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$13.18
Typical High
$13.18
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
United
Setting
Facility
Modifier
None
Typical Low
$6.17
Median
$6.17
Typical High
$6.17
United
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$13.18
Typical High
$17.78
Univera
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$13.18
Typical High
$13.18
Univera
Setting
Professional
Modifier
None
Typical Low
$7.41
Median
$13.18
Typical High
$13.18

Where New York sits

The same service costs 3.0 times more in Arizona than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 37th of 51

$12.30

AZ $21.38HI $7.24

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.