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Acetazolamide Injection

Missouri 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 Missouri, 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 $25.12 from a physician practice, and about $25.12 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
$25.12
At a hospital outpatient department
$25.12

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 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$25.12$24.55 to $28.18
FacilityA hospital or hospital-owned outpatient department$25.12$24.55 to $43.65

How much rates vary

Facilitymedian $25 · 10th to 90th $18 to $65Professionalmedian $25 · 10th to 90th $25 to $44
$10.0$20.0$50.0$100.0facility $25professional $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
$16.22
Median
$25.12
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$26.30
Typical High
$60.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$25.70
Typical High
$64.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$30.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$45.71
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$47.86
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$17.38
Typical High
$20.89
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$33.88
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$25.70
Typical High
$31.62

Where Missouri 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.

Missouri $25.12 · 39th 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.