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Fomepizole Injection

South Carolina rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

Facilitymedian $14 · 10th–90th $9$500%10%20%10th90th$14Professionalmedian $12 · 10th–90th $12$150%50%90th$12$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
$12.30
Median
$12.30
Typical High
$50.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$17.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$16.98
Typical High
$30.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$12.30
Typical High
$14.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$19.05
Typical High
$32.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$13.80
Typical High
$16.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$14.13
Typical High
$18.62
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
$13.80