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Minnesota rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Facilitymedian $0 · 10th–90th $0–$320%20%10th90th$0Professionalmedian $0 · 10th–90th $0–$140%20%40%10th90th$0$0.2$1.0$5.0$20.0

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
$15.85 / $15.85 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $15.85
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.21 / $0.42 / $0.42
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.21 / $0.21
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $33.88 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $11.75 / $12.88
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $32.36 / $38.02
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $13.80
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $9.12 / $12.02