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Florida rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Facilitymedian $63 · 10th–90th $26–$1820%5%10%10th90th$63Professionalmedian $25 · 10th–90th $25–$300%50%90th$25$20.0$50.0$100.0$200.0$500.0$1.0K

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
$25.70 / $66.07 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $30.20
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $36.31 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $24.55 / $24.55
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $25.70 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $31.62 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.70 / $26.92
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70