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Tetracycline Injection

Kansas rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Rates data updated July 2026.

Facilitymedian $17 · 10th–90th $13$170%50%10th90th$17Professionalmedian $13 · 10th–90th $13$170%50%90th$13$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
$13.18
Typical High
$13.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$16.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$17.38
Typical High
$17.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$16.60
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$6.17
United
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$4.90