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Acetazolamide Injection

Montana rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Rates data updated July 2026.

How much does Acetazolamide Injection cost?

$27.54per 500 mg

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $27.54 for each 500 mg of this drug. The price depends on where it is billed: about $27.54 from a physician practice, and about $30.90 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
$27.54
At a hospital outpatient department
$30.90

The same drug, in the same amount, costs 12% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$27.54$26.30 to $33.11
FacilityA hospital or hospital-owned outpatient department$30.90$27.54 to $54.95

How much rates vary

Facilitymedian $31 · 10th to 90th $26 to $107Professionalmedian $28 · 10th to 90th $26 to $78
$100$1K$10K$100Kfacility $31professional $28

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
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.92
Typical High
$77.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$72.44
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$24.55
Typical High
$24.55
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$28.18
Typical High
$81.28
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$28.18
Typical High
$81.28
Providence
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$54.95
Providence
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$34.67
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70

Where Montana sits

The same service costs 1.8 times more in Wyoming than in Oklahoma. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 19th of 51

$27.54

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.