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Acetazolamide Injection

Ohio rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Rates data updated July 2026.

Facilitymedian $58 · 10th–90th $26$1150%10%10th90th$58Professionalmedian $26 · 10th–90th $25$520%20%10th90th$26$0.5$2.0$10.0$50.0$200.0

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
$25.12
Median
$58.88
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$25.12
Typical High
$52.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$52.48
Typical High
$158.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$28.18
Typical High
$46.77
Aultcare
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
CareSource
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
CareSource
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$51.29
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$43.65
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$52.48
Typical High
$70.79
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Molina
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$30.20
Typical High
$35.48
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$40.74
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$29.51
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$30.90