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Tetracycline Injection

Montana rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Rates data updated July 2026.

How much does Tetracycline Injection cost?

$13.80per 250 mg

Typical physician fee. In Montana, July 2026.

Insurers have agreed to pay about $13.80 for each 250 mg of this drug. Most negotiated rates run $13.80 to $105.

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
$13.80

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $105 · 10th to 90th $105 to $123Professionalmedian $14 · 10th to 90th $14 to $105
$20$50$100facility $105professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$123.03
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$123.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$85.11

Where Montana 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.

Montana· 26th of 49

$13.80

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.