go back

Colorado rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.31 / $13.31 / $51.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.31 / $13.31 / $13.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.31 / $13.31 / $19.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00