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Acetazolamide Injection

Hawaii rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Rates data updated July 2026.

Professionalmedian $36 · 10th–90th $30$360%50%10th$36$50.0

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$25.70
HMSA
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$29.51
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$38.02