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Fomepizole Injection

Oklahoma rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

Facilitymedian $9 · 10th–90th $6$150%20%10th90th$9Professionalmedian $12 · 10th–90th $12$130%50%90th$12$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$21.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$8.51
Typical High
$14.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$12.30
Typical High
$75.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.30
Typical High
$12.30
United
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$10.72
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30