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Tetracycline Injection

Georgia rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Rates data updated July 2026.

Facilitymedian $14 · 10th–90th $14$140%50%90th$14Professionalmedian $14 · 10th–90th $13$180%20%40%10th90th$14$1.0$2.0$5.0$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
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$14.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.80
Typical High
$14.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$17.78
Typical High
$18.20
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$102.33