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Acetazolamide Injection

Iowa rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Rates data updated July 2026.

Facilitymedian $25 · 10th–90th $25$440%50%90th$25Professionalmedian $42 · 10th–90th $25$710%20%40%10th90th$42$0.0$0.1$0.5$2.0$10.0$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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$43.65
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$43.65
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$25.12
Typical High
$30.90
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$36.31
Typical High
$53.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$29.51
Typical High
$47.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$17.38
Typical High
$42.66
Midlands
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$29.51
United
Setting
Facility
Modifier
Global
Typical Low
$0.03
Median
$0.03
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$26.92
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55