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Acetazolamide Injection

Nebraska rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Rates data updated July 2026.

Facilitymedian $37 · 10th–90th $25$560%20%10th90th$37Professionalmedian $25 · 10th–90th $25$780%20%40%90th$25$20.0$50.0$100.0

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
$24.55
Median
$48.98
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$77.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$27.54
Typical High
$28.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$28.18
Typical High
$28.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$30.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$100.00
Typical High
$158.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$25.70
Midlands
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$25.70
Typical High
$50.12