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Alaska rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.24 / $22.24 / $78.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.81 / $22.46 / $22.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.11 / $32.11 / $32.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.11 / $32.11 / $32.11