go back

Oregon rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Facilitymedian $29 · 10th–90th $25–$510%10%20%10th90th$29Professionalmedian $26 · 10th–90th $25–$340%50%10th90th$26$20.0$50.0$100.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $32.36 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.70 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $32.36 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $26.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $46.77 / $57.54
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $25.70 / $40.74
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $25.70 / $40.74
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $21.88 / $40.74
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $36.31 / $64.57
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $27.54 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70