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Indiana rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Facilitymedian $36 · 10th–90th $26–$790%20%10th90th$36Professionalmedian $25 · 10th–90th $25–$470%50%10th90th$25$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 / $56.23 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $56.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $36.31 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $46.77
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $29.51 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $67.61 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $30.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $51.29