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Florida rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.84 / $78.56 / $290.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $19.84 / $21.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.72 / $19.84 / $19.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $19.84 / $19.84
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.55 / $19.84 / $19.84
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $20.97 / $20.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $19.84 / $29.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.23 / $17.23 / $19.84