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Virginia rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Facilitymedian $56 · 10th–90th $26–$2950%10%10th90th$56Professionalmedian $26 · 10th–90th $25–$290%50%10th90th$26$0.5$2.0$10.0$50.0$200.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $56.23 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.70 / $28.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $40.74
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $26.92 / $40.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $45.71 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $25.70 / $46.77
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $30.90
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $29.51 / $41.69
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $29.51 / $41.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.70 / $32.36