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Illinois rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Facilitymedian $45 · 10th–90th $26–$950%10%20%10th90th$45Professionalmedian $26 · 10th–90th $25–$480%50%10th90th$26$20.0$50.0$100.0$200.0$500.0

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 / $43.65 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.70 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $104.71 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $45.71 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $38.02 / $97.72
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $31.62 / $31.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.70 / $26.92