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Acetazolamide Injection

Minnesota rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Rates data updated July 2026.

Facilitymedian $51 · 10th–90th $19$930%20%10th90th$51Professionalmedian $25 · 10th–90th $19$270%20%10th90th$25$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
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$48.98
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$26.92
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$42.66
Typical High
$51.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$22.91
Typical High
$25.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$74.13
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$30.90
Typical High
$31.62
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$67.61
Typical High
$97.72
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$33.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$26.92
Typical High
$123.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$25.70
Typical High
$46.77