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Tetracycline Injection

Maine rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Rates data updated July 2026.

How much does Tetracycline Injection cost?

$39.81per 250 mg

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $39.81 for each 250 mg of this drug. Most negotiated rates run $14.13 to $41.69.

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
In a doctor's office or clinic
$14.13

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 $42 · 10th to 90th $39 to $42Professionalmedian $14 · 10th to 90th $1 to $48
$1$2$5$10$20$50facility $42professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$41.69
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$14.13
Typical High
$14.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$1.00
Typical High
$1.15
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$48.98
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$41.69
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$14.13
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$39.81
Typical High
$39.81

Where Maine sits

The same service costs 478.6 times more in Wyoming than in Minnesota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 3rd of 49

$39.81

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.