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Chlorothiazide Injection

Utah rates for HCPCS J1205

Injection, chlorothiazide sodium, per 500 mg

Rates data updated July 2026.

Facilitymedian $55 · 10th–90th $51$780%50%10th90th$55Professionalmedian $55 · 10th–90th $47$580%50%10th90th$55$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
$54.95
Median
$54.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$77.62
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Select Health
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$46.77
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54