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Arizona rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Facilitymedian $65 · 10th–90th $28–$1510%10%10th90th$65Professionalmedian $26 · 10th–90th $25–$590%50%10th90th$26$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $63.10 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.70 / $70.79
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $72.44 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $48.98 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $39.81 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $26.92 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $31.62 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.70 / $25.70