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North Carolina rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Facilitymedian $39 · 10th–90th $28–$1120%20%10th90th$39Professionalmedian $28 · 10th–90th $25–$410%20%40%10th90th$28$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $38.90 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $28.18 / $40.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $36.31 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $27.54
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $28.84 / $34.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $31.62 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.70 / $36.31
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $112.20 / $112.20