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Acetazolamide Injection

Tennessee rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Rates data updated October 2026.

How much does Acetazolamide Injection cost?

$28.18per 500 mg

Typical physician fee. In Tennessee, October 2026.

Insurers have agreed to pay about $28.18 for each 500 mg of this drug. Most negotiated rates run $28.18 to $33.11.

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
$28.18

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $35 · 10th to 90th $29 to $47Professionalmedian $28 · 10th to 90th $25 to $29
$50facility $35professional $28

Distribution of negotiated rates across all payers (price axis is log-scale). 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
$39.81
Aetna
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$28.84
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$14.13
Median
$14.13
Typical High
$14.45
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$5.62
Median
$5.62
Typical High
$5.75
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$4.27
Median
$4.27
Typical High
$4.37
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$2.82
Median
$2.82
Typical High
$2.88
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$24.55
Typical High
$47.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$30.90
Median
$34.67
Typical High
$48.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
United
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$24.55
Typical High
$39.81

Where Tennessee 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.

Tennessee· 41st of 51

$28.18

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.