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Fomepizole Injection

Ohio rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated October 2026.

How much does Fomepizole Injection cost?

$12.02per 15 mg

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $12.02 for each 15 mg of this drug. The price depends on where it is billed: about $12.02 from a physician practice, and about $11.75 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
$12.02
At a hospital outpatient department
$11.75

The same drug, in the same amount, costs 2% less 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.02$6.76 to $12.88
FacilityA hospital or hospital-owned outpatient department$11.75$9.77 to $16.22

How much rates vary

Facilitymedian $12 · 10th to 90th $7 to $34Professionalmedian $12 · 10th to 90th $7 to $19
$5$10$20$50facility $12professional $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
$12.02
Median
$12.02
Typical High
$34.67
Aetna
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$12.02
Typical High
$34.67
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$6.61
Median
$11.48
Typical High
$26.30
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$6.76
Median
$7.08
Typical High
$16.98
CareSource
Setting
Facility
Modifier
None
Typical Low
$6.17
Median
$6.17
Typical High
$6.17
Cigna
Setting
Facility
Modifier
None
Typical Low
$27.54
Median
$27.54
Typical High
$37.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$15.14
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$27.54
Median
$27.54
Typical High
$37.15
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$15.14
Molina
Setting
Professional
Modifier
None
Typical Low
$7.41
Median
$8.32
Typical High
$9.77
SummaCare
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$14.45
Typical High
$26.30
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
$12.30
Typical High
$18.62

Where Ohio 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.

Ohio· 47th of 51

$12.02

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.