go back

Tetracycline Injection

Iowa rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Rates data updated July 2026.

Facilitymedian $22 · 10th–90th $13$500%20%40%10th90th$22Professionalmedian $13 · 10th–90th $10$220%50%10th90th$13$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
$13.18
Median
$26.92
Typical High
$50.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$22.39
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$12.59
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$8.71
Typical High
$23.99
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
Midlands
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91