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Acetazolamide Injection

Nebraska rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Rates data updated October 2026.

How much does Acetazolamide Injection cost?

$24.55per 500 mg

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $24.55 for each 500 mg of this drug. The price depends on where it is billed: about $24.55 from a physician practice, and about $27.54 from a hospital or other facility.

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
$24.55
At a hospital outpatient department
$27.54

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$24.55$19.05 to $27.54
FacilityA hospital or hospital-owned outpatient department$27.54$24.55 to $31.62

How much rates vary

Facilitymedian $28 · 10th to 90th $23 to $33Professionalmedian $25 · 10th to 90th $17 to $35
$20$50$100facility $28professional $25

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$24.55
Typical High
$28.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$24.55
Typical High
$28.18
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$23.44
Median
$27.54
Typical High
$31.62
BCBS Nebraska
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$27.54
Typical High
$27.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$28.84
Typical High
$35.48
Medica
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$63.10
Typical High
$158.49
Medica
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$17.38
Typical High
$42.66
Midlands
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$46.77
United
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$24.55
Typical High
$46.77

Where Nebraska sits

The same service costs 2.2 times more in Alaska 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.

Nebraska· 45th of 51

$24.55

AK $48.98OK $22.39

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.