Price of Acetazolamide 500 mg Injection at NYU Langone
Last Updated: 2024-07-01
Locations
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NYU Langone|Tisch Hospital
550 1st Ave., New York, NY 10016About Acetazolamide 500 mg Injection
Service Codes: LOCAL 5010003, HCPCS J1120
This injection is used to treat conditions such as glaucoma, altitude sickness, and certain types of seizures by reducing fluid production in the body and lowering pressure in the eyes.
Pricing Overview
Cash Price
$68.75
Median Price
$104.93
Price Range
$36.18 - $264.14
Insurance Plan Prices
| Insurance Provider | Plan Type | Price |
|---|---|---|
| MetroPlus | PlatinumPlus | $112.17 |
| Cigna | Tufts Health Plan | $115.79 |
| MagnaCare | Capital District Physicians Health Plan | $86.84 |
| MultiPlan | Nippon Life | $264.14 |
| MetroPlus | GoldPlus | $112.17 |
| Aetna | Healthscope ASA PPO | $108.55 |
| UnitedHealthcare | HMO | $36.18 |
| Cigna | Premier Plus | $115.79 |
| MagnaCare | National Health Plan | $86.84 |
| MagnaCare | Direct Plus Preferred | $86.84 |
| MultiPlan | Global Health Management | $264.14 |
| EmblemHealth | CMO Essential Plan 2 | $104.93 |
| EmblemHealth | Select Care Basic Exchange | $104.93 |
| Cigna | Evernorth Behavioral Health | $115.79 |
| First Health | PPO | $264.14 |
| Humana | All Commercial Plans | $264.14 |
| EmblemHealth | Healthcare Partners Essential Plan 1-2 | $104.93 |
| MetroPlus | Medicaid Managed Care | $47.04 |
| EmblemHealth | HIP compre health epo | $104.93 |
| Aetna | HMO | $108.55 |
| Aetna | Open Access Elect Choice EPO | $108.55 |
| EmblemHealth | GHI EPO | $144.74 |
| EmblemHealth | GHI Behavioral Management Program | $144.74 |
| EmblemHealth | GHI Medicare Supplement | $144.74 |
| EmblemHealth | GHI Medicare PPO | $144.74 |
| UnitedHealthcare - Oxford | Optum Health | $36.18 |
| EmblemHealth | Select Care Catastrophic Exchangeu00a0 | $104.93 |
| Aetna | Meritain Health | $108.55 |
| MultiPlan | Mutual of Omaha | $264.14 |
| EmblemHealth | HIP Access II | $104.93 |
| MetroPlus | MedPlus | $112.17 |
| GEHA | All Plans | $108.55 |
| EmblemHealth | CMO Essential Plan 3 | $104.93 |
| EmblemHealth | Bridge | $104.93 |
| MagnaCare | Cement & Concrete Workers District Council | $86.84 |
| MetroPlus | Essential Plan 4 | $47.04 |
| Cigna | MVP-Cigna Network | $115.79 |
| EmblemHealth | HIP POS | $104.93 |
| EmblemHealth | Healthcare Partners Essential Plan 1, 200-250 | $104.93 |
| Maksin Group | Consolidated Health Plan (Home-based only) | $115.79 |
| EmblemHealth | HIP VIP Medicare Montefiore | $104.93 |
| MultiPlan | PHCS Director Guild | $264.14 |
| EmblemHealth | Select Care Silver Exchange | $104.93 |
| MultiPlan | AXA Global Insurance | $264.14 |
| EmblemHealth | Essential Plan 3 | $104.93 |
| MultiPlan | Capital District Physicians Health Plan | $264.14 |
| MetroPlus | Essential Plan 3-4 | $47.04 |
| Cigna | PPO | $115.79 |
| UnitedHealthcare | POS | $36.18 |
| EmblemHealth | HIP VIP Medicare Reserve | $104.93 |
| MetroPlus | Gold | $72.37 |
| EmblemHealth | HIP VIP Medicare Bold | $104.93 |
| MagnaCare | PPO | $86.84 |
| MagnaCare | American Plan Administrators | $86.84 |
| Aetna | Nippon Life ASA PPO | $108.55 |
| EmblemHealth | VIP Prime HMO Medicare Advantage | $104.93 |
| EmblemHealth | CMO Essential Plan 4 | $104.93 |
| EmblemHealth | HIP Long Island College Hospital (LICH) | $104.93 |
| Health Net | PPO | $264.14 |
| MultiPlan | PHCS Savility | $264.14 |
| MetroPlus | GoldCare 2 | $72.37 |
| EmblemHealth | HIP Healthcare Partners HMO | $104.93 |
| UnitedHealthcare - Oxford | Metro | $36.18 |
| EmblemHealth | HIP PPO | $104.93 |
| UnitedHealthcare | Choice | $36.18 |
| EmblemHealth | GHI Comprehensive Benefits Plan (CBP) | $144.74 |
| EmblemHealth | Select Care Bronze Small Group | $104.93 |
| EmblemHealth | Enhanced Care (Medicaid) Healthcare Partners | $104.93 |
| MultiPlan | PHP Healthcare (Champus) | $264.14 |
| EmblemHealth | Essential Plan 2 | $104.93 |
| EmblemHealth | Healthcare Partners Essential Plans | $104.93 |
| MultiPlan | Administrative Concepts | $264.14 |
| Aetna | Global National Transplant | $108.55 |
| EmblemHealth | HIP Medicare Supplement | $104.93 |
| Cigna | HMO | $115.79 |
| Cigna | Open Access | $115.79 |
| Aetna | Christian Brothers ASA PPO | $108.55 |
| Aetna | Allied ASA PPO | $108.55 |
| UnitedHealthcare - Oxford | Liberty | $36.18 |
| EmblemHealth | Select Care Silver Small Group | $104.93 |
| EmblemHealth | Healthcare Partners Essential Plan 2 | $104.93 |
| Cigna | Great West HMO | $115.79 |
| UnitedHealthcare | POMCO (UMR) | $264.14 |
| EmblemHealth | HIP SmartStart | $104.93 |
| EmblemHealth | Healthcare Partners Essential Plan 3 | $104.93 |
| Cigna | Wellfleet Student | $115.79 |
| MetroPlus | Child Health Plus (CHP) | $47.04 |
| EmblemHealth | Vytra HMO | $104.93 |
| EmblemHealth | Select Care HMO | $104.93 |
| MultiPlan | PPO | $264.14 |
| EmblemHealth | GHI PPO | $144.74 |
| Aetna | Indemnity | $108.55 |
| UnitedHealthcare - Oxford | Freedom | $36.18 |
| EmblemHealth | Select Care PPOu00a0 | $104.93 |
| EmblemHealth | HIP | $104.93 |
| Cigna | Great West PPO | $115.79 |
| EmblemHealth | GHI HMO | $144.74 |
| MultiPlan | Kaiser Permanente | $264.14 |
| EmblemHealth | GHI composite | $144.74 |
| UnitedHealthcare | Independent | $36.18 |
| MetroPlus | Essential Plan 3 | $47.04 |
| Aetna | Signature Administrators PPO | $108.55 |
| EmblemHealth | Essential Plan 1, 200-250 | $104.93 |
| Aetna | Coresource ASA PPO | $108.55 |
| UnitedHealthcare | PPO | $36.18 |
| EmblemHealth | American Plan Administrators c/o H.D.A | $144.74 |
| MultiPlan | US Life Insurance Co | $264.14 |
| EmblemHealth | Select Care EPO | $104.93 |
| EmblemHealth | Select Care Bronze Exchange | $104.93 |
| EmblemHealth | Prime Gold | $104.93 |
| EmblemHealth | IUOE Local 14-14B | $144.74 |
| EmblemHealth | American Plan Administrators | $144.74 |
| MagnaCare | JIB Employees Security Fund | $86.84 |
| Aetna | Student Health | $108.55 |
| EmblemHealth | HIP Child Health Plus | $104.93 |
| EmblemHealth | Enhanced Care (Medicaid) Montefiore | $104.93 |
| UnitedHealthcare | Optum Health | $36.18 |
| EmblemHealth | Healthcare Partners Essential Plan 4 | $104.93 |
| MetroPlus | Essential Plan 1-2, 200-250 | $68.75 |
| EmblemHealth | Select Care Gold Small Group | $104.93 |
| UnitedHealthcare | Student Resources | $36.18 |
| EmblemHealth | Essential Plan 4 | $104.93 |
| EmblemHealth | Select Care Platinum Exchange | $104.93 |
| Cigna | NALC PPO | $115.79 |
| EmblemHealth | HIP Prime Basic | $104.93 |
| UnitedHealthcare | Choice (NY Power Authority) | $36.18 |
| EmblemHealth | HIP Access I | $104.93 |
| Cigna | Open Access PPO | $115.79 |
| MultiPlan | Humana Health Plan | $264.14 |
| MultiPlan | Screen Actors Guild | $264.14 |
| MultiPlan | Meritain Health | $264.14 |
| MetroPlus | SilverPlus | $112.17 |
| UnitedHealthcare | Navigate | $36.18 |
| EmblemHealth | Prime Platinum | $104.93 |
| MultiPlan | Principal Financial Group | $264.14 |
| UnitedHealthcare | Charter | $36.18 |
| MagnaCare | JIB Members | $86.84 |
| EmblemHealth | Prime Bronze | $104.93 |
| MultiPlan | Paramount Insurance | $264.14 |
| EmblemHealth | HIP VIP Medicare Affinity | $104.93 |
| UnitedHealthcare | Golden Rule Insurance | $36.18 |
| EmblemHealth | Select Care Healthcare Partners | $104.93 |
| Aetna | Starmark ASA PPO | $108.55 |
| EmblemHealth | HIP Optum Health | $104.93 |
| EmblemHealth | HIP Montefiore | $104.93 |
| MultiPlan | Guardian Life Insurance Co | $264.14 |
| Aetna | Open Access HMO | $108.55 |
| Cigna | Open Access HMO | $115.79 |
| Cigna | Indemnity | $115.79 |
| UnitedHealthcare | POMCO (UMR) | $36.18 |
| EmblemHealth | Select Care Gold Exchange | $104.93 |
| Aetna | Wellnet ASA PPO | $108.55 |
| EmblemHealth | HIP EPO | $104.93 |
| MetroPlus | Essential Plan 1 | $68.75 |
| MultiPlan | Diversified Admin Corp | $264.14 |
| EmblemHealth | HIP VIP Medicare Healthcare Partners | $104.93 |
| MultiPlan | Global Excel Management | $264.14 |
| Cigna | LifeSOURCE | $115.79 |
| UnitedHealthcare | Choice (North Shore - LIJ) | $36.18 |
| EmblemHealth | HIP HMO | $104.93 |
| MetroPlus | BronzePlus | $112.17 |
| EmblemHealth | Select Care Platinum Small Group | $104.93 |
| Cigna | Cigna Managed Care/POS | $115.79 |
| EmblemHealth | CMO Essential Plan 1 | $104.93 |
| EmblemHealth | HIP compre health | $104.93 |
| Aetna | POS | $108.55 |
| EmblemHealth | Prime Silver | $104.93 |
| MultiPlan | Healthnet of California | $264.14 |
| MagnaCare | Direct Plus | $86.84 |
| UnitedHealthcare | Core | $36.18 |
| MultiPlan | PHCS | $264.14 |
| EmblemHealth | Healthcare Partners Essential Plan 3-4 | $104.93 |
| UnitedHealthcare | EPO | $36.18 |
| EmblemHealth | Enhanced Care (Medicaid) | $104.93 |
| Aetna | Chesterfield Resources ASA PPO | $108.55 |
| Aetna | PPO | $108.55 |
| MultiPlan | Teamsters Allied Benefits | $264.14 |
| MagnaCare | Independent Care Plus | $86.84 |
| MetroPlus | Essential Plan 2 | $68.75 |
| EmblemHealth | WLNY-TV | $144.74 |
| EmblemHealth | GHI Medicare HMO | $144.74 |
| MultiPlan | QualCare Inc | $264.14 |
| MultiPlan | Fiserv Health | $264.14 |