go back

Acetazolamide Injection

Kansas rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Rates data updated July 2026.

Facilitymedian $40 · 10th–90th $23$4270%20%10th90th$40Professionalmedian $26 · 10th–90th $25$440%20%10th90th$26$20.0$50.0$100.0$200.0

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
$16.22
Median
$107.15
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$26.30
Typical High
$43.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$23.99
Typical High
$24.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$39.81
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$26.92
Typical High
$53.70
Medica
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$29.51
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$48.98