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Fomepizole Injection

Rhode Island rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

Facilitymedian $13 · 10th–90th $13$490%50%10th90th$13Professionalmedian $13 · 10th–90th $12$130%50%10th90th$13$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$48.98
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$24.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
United
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$12.30
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30