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Idaho rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Facilitymedian $30 · 10th–90th $25–$1070%10%20%10th90th$30Professionalmedian $26 · 10th–90th $25–$310%50%10th90th$26$20.0$50.0$100.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $36.31 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.70 / $30.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $38.90 / $81.28
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $29.51 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $27.54 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $36.31
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $25.70 / $30.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $30.20
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $93.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $40.74