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Acetazolamide Injection

Texas rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Rates data updated July 2026.

Facilitymedian $58 · 10th–90th $25$1510%5%10th90th$58Professionalmedian $25 · 10th–90th $25$330%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
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$54.95
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$33.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$63.10
Typical High
$123.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$36.31
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$57.54
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$58.88
Typical High
$165.96
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$25.70
Typical High
$37.15
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$24.55
Typical High
$41.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$21.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$29.51
Typical High
$75.86
Providence
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
United
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$39.81
Typical High
$42.66
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$24.55
Typical High
$33.11