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Tetracycline Injection

Arizona rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Rates data updated October 2026.

How much does Tetracycline Injection cost?

$36.31per 250 mg

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $36.31 for each 250 mg of this drug. The price depends on where it is billed: about $13.49 from a physician practice, and about $48.98 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per 250 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$13.49
At a hospital outpatient department
$48.98

The same drug, in the same amount, costs 263% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$13.49$13.49 to $13.49
FacilityA hospital or hospital-owned outpatient department$48.98$19.50 to $69.18

How much rates vary

Facilitymedian $49 · 10th to 90th $12 to $78Professionalmedian $13 · 10th to 90th $11 to $18
$20$50$100facility $49professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$17.78
Median
$19.50
Typical High
$25.70
Aetna
Setting
Professional
Modifier
None
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.69
Median
$2.69
Typical High
$2.69
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$2.04
Median
$2.04
Typical High
$2.04
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1.35
Median
$1.35
Typical High
$1.35
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$12.02
Median
$51.29
Typical High
$77.62
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$11.22
Typical High
$79.43
Medica
Setting
Facility
Modifier
None
Typical Low
$13.49
Median
$16.22
Typical High
$100.00
Medica
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$13.80
Typical High
$18.20

Where Arizona sits

The same service costs 1412.5 times more in Wyoming than in Missouri. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arizona· 3rd of 51

$36.31

WY $85.11MO $0.06

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.