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Tetracycline Injection

Missouri rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Rates data updated July 2026.

Facilitymedian $13 · 10th–90th $13$130%50%$13Professionalmedian $13 · 10th–90th $0$130%50%10th$13$0.1$0.5$2.0$10.0$50.0

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
$13.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.06
Median
$0.06
Typical High
$0.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$37.15
Typical High
$100.00