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Minnesota rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Facilitymedian $44 · 10th–90th $19–$810%20%10th90th$44Professionalmedian $26 · 10th–90th $19–$280%50%10th90th$26$0.1$0.2$1.0$5.0$20.0$100.0$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
$25.12 / $25.70 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $32.36
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $43.65 / $43.65
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $22.91 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $81.28 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $30.90 / $33.11
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $77.62 / $97.72
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $35.48
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $26.92 / $123.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $25.70 / $46.77