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Acetazolamide Injection

South Carolina rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Rates data updated July 2026.

Facilitymedian $32 · 10th–90th $26$2090%20%10th90th$32Professionalmedian $26 · 10th–90th $26$400%50%90th$26$20.0$50.0$100.0$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
$25.70
Median
$30.20
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$39.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$30.20
Typical High
$34.67
BCBS
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$27.54
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$34.67
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Medcost
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$31.62
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$28.18