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Iowa rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Facilitymedian $13 · 10th–90th $13$500%50%10th90th$13Professionalmedian $13 · 10th–90th $13$160%50%90th$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $13.49 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $12.59
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $151.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $8.71 / $23.99
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $8.71
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $8.71