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Fomepizole Injection

West Virginia rates for HCPCS J1451

Injection, fomepizole, 15 mg

Rates data updated July 2026.

Facilitymedian $13 · 10th–90th $13$150%50%90th$13Professionalmedian $13 · 10th–90th $12$150%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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$15.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$15.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$16.22
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$10.72
United
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.30
Typical High
$15.85