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Mississippi rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.64 / $19.97 / $19.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $14.14 / $19.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $20.00