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West Virginia rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Facilitymedian $43 · 10th–90th $25–$430%50%10th$43Professionalmedian $26 · 10th–90th $25–$280%50%10th90th$26$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $42.66 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.70 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $36.31 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $85.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $93.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $25.70 / $41.69