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Acetazolamide Injection

Arizona rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Rates data updated July 2026.

Facilitymedian $44 · 10th–90th $19$1350%10%20%10th90th$44Professionalmedian $27 · 10th–90th $25$710%20%10th90th$27$5.0$10.0$20.0$50.0$100.0$200.0

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
$38.90
Median
$51.29
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$26.92
Typical High
$70.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$33.11
Typical High
$128.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$46.77
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$42.66
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$26.92
Typical High
$75.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$33.88
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70