go back

Fomepizole Injection

Oregon rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

Facilitymedian $13 · 10th–90th $11$300%20%10th90th$13Professionalmedian $13 · 10th–90th $12$150%50%10th90th$13$5.0$10.0$20.0$50.0

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
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$30.20
Typical High
$30.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$16.98
Typical High
$17.78
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$13.18
Typical High
$16.60
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$13.18
Typical High
$16.22
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$12.88
Typical High
$20.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$17.78
Typical High
$37.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.88
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$14.13
Typical High
$23.99
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30