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Georgia rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $13.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.31 / $13.81 / $13.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $17.95 / $17.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.00 / $81.00 / $96.00