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Arizona rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Facilitymedian $31 · 10th–90th $18–$790%20%10th90th$31Professionalmedian $13 · 10th–90th $13–$160%50%10th90th$13$10.0$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
$17.78 / $28.84 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $13.49 / $16.22
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $50.12 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $22.39 / $81.28
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $19.50 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $18.20