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Colorado rates for HCPCS J1120

Acetazolamid Sodium Injectio

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.82 / $43.24 / $131.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $20.85 / $22.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.40 / $35.71 / $63.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $19.84 / $19.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.72 / $18.72 / $37.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $19.84 / $19.84
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.93 / $30.07 / $48.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $21.83 / $32.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $19.84 / $19.84