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Delaware rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.91 / $50.98 / $218.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $40.17 / $40.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $19.84 / $19.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.92 / $192.92 / $192.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $29.76 / $48.56