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Nationwide rates for HCPCS J0120

Injection Tetracycline Up To 250 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.97 / $14.33 / $29.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.56 / $13.81 / $14.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.18 / $1.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.14 / $17.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.01 / $28.29 / $36.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $10.23 / $12.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.29 / $7.36 / $23.83