How much does Fomepizole Injection cost?

$12.88per 15 mg

Typical negotiated rate. In West Virginia, October 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 $15.14 from a hospital or other facility.

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.

Amount givenmg

In a doctor's office or clinic: $12.88
At a hospital outpatient department: $15.14

The same drug, in the same amount, costs 17% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$12.88	$12.30 to $18.62
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$15.14	$12.88 to $16.22

How much rates vary

Facilitymedian $15 · 10th to 90th $13 to $85Professionalmedian $13 · 10th to 90th $12 to $19

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $15.14	Facility	None	$12.88	$12.88	$15.14
Aetna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $15.14	Professional	None	$12.88	$12.88	$15.14
Cigna Setting Facility Modifier None Typical Low $12.88 Median $16.22 Typical High $85.11	Facility	None	$12.88	$16.22	$85.11
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $67.61	Professional	None	$12.88	$12.88	$67.61
Highmark BCBS Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10	Facility	None	$63.10	$63.10	$63.10
United Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17	Facility	None	$6.17	$6.17	$6.17
United Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $18.62	Professional	None	$12.30	$12.30	$18.62

Where West Virginia sits

The same service costs 3.0 times more in Arizona 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.

West Virginia· 24th of 51

$12.88

AZ $21.38HI $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.