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Acetazolamide Injection

Arkansas rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Rates data updated July 2026.

Facilitymedian $28 · 10th–90th $28$520%50%90th$28Professionalmedian $27 · 10th–90th $25$300%20%10th90th$27$20.0$50.0$100.0$200.0$500.0

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
$29.51
Median
$29.51
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$26.92
Typical High
$29.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$34.67
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$41.69