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Acetazolamide Injection

Maine rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Rates data updated July 2026.

How much does Acetazolamide Injection cost?

$25.12per 500 mg

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $25.12 for each 500 mg of this drug. The price depends on where it is billed: about $24.55 from a physician practice, and about $60.26 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 500 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$24.55
At a hospital outpatient department
$60.26

The same drug, in the same amount, costs 145% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$24.55$24.55 to $25.70
FacilityA hospital or hospital-owned outpatient department$60.26$56.23 to $60.26

How much rates vary

Facilitymedian $60 · 10th to 90th $32 to $72Professionalmedian $25 · 10th to 90th $25 to $30
$20.0$50.0$100.0facility $60professional $25

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$60.26
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$25.12
Typical High
$29.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$29.51
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$56.23
Typical High
$117.49
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$25.12
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$25.70
Typical High
$37.15

Where Maine sits

The same service costs 1.8 times more in Wyoming than in Oklahoma. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $25.12 · 42nd of 51
WY $43.65OK $23.99

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.