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Connecticut rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Facilitymedian $28 · 10th–90th $17$470%20%10th90th$28Professionalmedian $14 · 10th–90th $11$140%50%10th$14$1.0$5.0$20.0$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
$16.60 / $27.54 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $14.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $2.45 / $223.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12