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Fomepizole Injection

Virginia rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

How much does Fomepizole Injection cost?

$12.88per 15 mg

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $12.88 for each 15 mg of this drug. The price depends on where it is billed: about $12.88 from a physician practice, and about $13.49 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 15 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$12.88
At a hospital outpatient department
$13.49

The same drug, in the same amount, costs 5% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.88$12.02 to $12.88
FacilityA hospital or hospital-owned outpatient department$13.49$9.12 to $20.42

How much rates vary

Facilitymedian $13 · 10th to 90th $7 to $28Professionalmedian $13 · 10th to 90th $12 to $16
$10$20facility $13professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$25.70
Typical High
$33.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$15.14
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$13.18
Typical High
$22.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$20.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$25.12
Typical High
$32.36
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
$10.00
Typical High
$15.85
Medcost
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Medcost
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$19.50
Sentara
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$13.49
Typical High
$18.20
Sentara
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$13.49
Typical High
$18.20
United
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$7.94
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.30
Typical High
$15.49

Where Virginia sits

The same service costs 2.8 times more in Colorado than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 14th of 51

$12.88

CO $20.42HI $7.24

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.