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Acetazolamide Injection

Utah rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Rates data updated October 2026.

How much does Acetazolamide Injection cost?

$32.36per 500 mg

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $32.36 for each 500 mg of this drug. The price depends on where it is billed: about $28.18 from a physician practice, and about $32.36 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
$28.18
At a hospital outpatient department
$32.36

The same drug, in the same amount, costs 15% more 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$28.18$24.55 to $32.36
FacilityA hospital or hospital-owned outpatient department$32.36$30.20 to $38.90

How much rates vary

Facilitymedian $32 · 10th to 90th $30 to $39Professionalmedian $28 · 10th to 90th $25 to $32
$50$100facility $32professional $28

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
$32.36
Median
$32.36
Typical High
$32.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$33.88
Typical High
$38.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Select Health
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$28.18
Typical High
$30.90
United
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$24.55
Typical High
$24.55

Where Utah 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.

Utah· 5th of 51

$32.36

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.