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Nebraska rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Facilitymedian $29 · 10th–90th $26$980%20%10th90th$29Professionalmedian $26 · 10th–90th $25$780%20%40%10th90th$26$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $37.15 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $34.67 / $77.62
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $27.54 / $28.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $28.18 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $26.30 / $32.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $100.00 / $158.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $25.70
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $24.55 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.70 / $38.02