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Washington, DC rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.84 / $48.59 / $65.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $19.84 / $19.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.23 / $37.40 / $63.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.72 / $18.72 / $19.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $16.86 / $19.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $19.84 / $32.15