go back

New Jersey rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Facilitymedian $39 · 10th–90th $25–$870%20%10th90th$39Professionalmedian $25 · 10th–90th $25–$390%50%90th$25$20.0$100.0$500.0$2.0K$10.0K

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
$25.12 / $38.90 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $38.90
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $28.84 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $27.54 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $43.65
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $11,481.54 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $19.05 / $19.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $44.67 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $25.70 / $29.51