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New Jersey rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.82 / $29.29 / $63.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $19.84 / $20.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.84 / $28.02 / $36.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $19.84 / $19.84
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.23 / $17.23 / $30.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $19.84 / $24.31