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Georgia rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.23 / $85.28 / $315.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.09 / $19.84 / $22.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.84 / $21.53 / $21.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.69 / $19.84 / $20.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.84 / $19.84 / $39.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.72 / $18.72 / $19.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $19.84 / $19.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.14 / $56.55 / $56.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $19.84 / $45.56