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Ohio rates for HCPCS J1451

Injection, fomepizole, 15 mg

Facilitymedian $18 · 10th–90th $10$380%10%10th90th$18Professionalmedian $12 · 10th–90th $8$150%50%10th90th$12$0.2$1.0$5.0$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 / $20.42 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $15.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $14.45 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $8.51 / $16.98
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $6.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $32.36 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $20.42
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $8.32 / $9.77
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.76
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $18.20 / $30.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $13.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $13.49