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New York rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Facilitymedian $43 · 10th–90th $26$930%20%10th90th$43Professionalmedian $25 · 10th–90th $25$480%50%10th90th$25$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$25.70 / $42.66 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.70 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $24.55
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $32.36 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $85.11
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $38.90 / $83.18
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $36.31
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $20.89
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $20.42
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $36.31 / $46.77
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $25.70 / $50.12
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $23.99
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $20.42 / $32.36