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Tetracycline Injection

Massachusetts rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Rates data updated July 2026.

Facilitymedian $10 · 10th–90th $7$360%20%10th90th$10Professionalmedian $40 · 10th–90th $14$650%50%10th90th$40$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$14.13
Median
$22.91
Typical High
$33.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$39.81
Typical High
$97.72
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$14.45
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$5,888.44
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$67.61
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$39.81
Typical High
$97.72
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81