go back

Texas rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Facilitymedian $54 · 10th–90th $26–$2140%5%10th90th$54Professionalmedian $25 · 10th–90th $25–$420%50%90th$25$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$31.62 / $52.48 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $41.69
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $63.10 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $58.88 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $112.20 / $112.20
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $42.66 / $162.18
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.70 / $42.66
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $21.38
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $29.51 / $75.86
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $31.62 / $31.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.70 / $25.70