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Acetazolamide Injection

West Virginia rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Rates data updated July 2026.

Facilitymedian $43 · 10th–90th $25$1150%20%10th90th$43Professionalmedian $25 · 10th–90th $25$270%50%90th$25$20.0$50.0$100.0

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
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$42.66
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$36.31
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$102.33
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$25.70
Typical High
$41.69