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Acetazolamide Injection

Michigan rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Rates data updated July 2026.

Facilitymedian $49 · 10th–90th $25$780%10%10th90th$49Professionalmedian $25 · 10th–90th $16$340%20%40%10th90th$25$10.0$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
$25.12
Median
$47.86
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$25.12
Typical High
$43.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$54.95
Typical High
$107.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$16.22
Typical High
$16.22
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$24.55
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$63.10
Typical High
$77.62
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$26.92
Typical High
$36.31
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$28.84