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Tetracycline Injection

Idaho rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Rates data updated July 2026.

How much does Tetracycline Injection cost?

$14.13per 250 mg

Typical facility fee. In Idaho, July 2026.

Insurers have agreed to pay about $14.13 for each 250 mg of this drug. Most negotiated rates run $13.80 to $14.45.

Work out the cost of a dose

This drug is priced per 250 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
At a hospital outpatient department
$16.60

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $17 · 10th to 90th $17 to $20Professionalmedian $14 · 10th to 90th $13 to $17
$20.0$50.0$100.0facility $17professional $14

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$14.13
Typical High
$16.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.45
Typical High
$20.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15

Where Idaho sits

The same service costs 478.6 times more in Wyoming than in Minnesota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Idaho $14.13 · 16th of 49
WY $100MN $0.21

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.