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Acetazolamide Injection

North Carolina rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Rates data updated July 2026.

Facilitymedian $51 · 10th–90th $28$1380%10%10th90th$51Professionalmedian $29 · 10th–90th $25$510%20%10th90th$29$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
$28.18
Median
$53.70
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$28.84
Typical High
$51.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$64.57
Typical High
$87.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$25.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$36.31
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$47.86
Medcost
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$28.84
Typical High
$34.67
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$39.81
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$35.48
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20