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Fomepizole Injection

Utah rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

Facilitymedian $13 · 10th–90th $12$160%50%10th90th$13Professionalmedian $13 · 10th–90th $4$130%50%10th$13$5.0$10.0$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
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$12.88
Typical High
$19.50
Select Health
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.80
Typical High
$7.41
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30