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Acetazolamide Injection

South Dakota rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Rates data updated October 2026.

How much does Acetazolamide Injection cost?

$26.92per 500 mg

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $26.92 for each 500 mg of this drug. The price depends on where it is billed: about $26.92 from a physician practice, and about $24.55 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per 500 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$26.92
At a hospital outpatient department
$24.55

The same drug, in the same amount, costs 9% less at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$26.92$19.05 to $28.84
FacilityA hospital or hospital-owned outpatient department$24.55$24.55 to $28.84

How much rates vary

Facilitymedian $25 · 10th to 90th $25 to $44Professionalmedian $27 · 10th to 90th $17 to $35
$20$50facility $25professional $27

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$43.65
Aetna
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$28.84
Typical High
$35.48
Medica
Setting
Facility
Modifier
None
Typical Low
$25.70
Median
$28.84
Typical High
$47.86
Medica
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$17.38
Typical High
$19.05
Midlands
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
United
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$24.55
Typical High
$26.92
Wellmark
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Wellmark
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$24.55
Typical High
$24.55

Where South Dakota sits

The same service costs 2.2 times more in Alaska than in Oklahoma. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 43rd of 51

$26.92

AK $48.98OK $22.39

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.