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Acetazolamide Injection

Tennessee rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Rates data updated July 2026.

Facilitymedian $46 · 10th–90th $25$1290%10%10th90th$46Professionalmedian $25 · 10th–90th $25$370%50%90th$25$50.0$100.0$200.0$500.0

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
$24.55
Median
$45.71
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$37.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$26.30
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$35.48
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$52.48
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$41.69