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Acetazolamide Injection

Oklahoma rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Rates data updated July 2026.

Facilitymedian $22 · 10th–90th $13$400%10%20%10th90th$22Professionalmedian $26 · 10th–90th $17$260%50%10th90th$26$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
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$26.30
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.92
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$19.05
Typical High
$32.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$64.57
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$20.42
Typical High
$75.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$19.05
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70