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Tetracycline Injection

North Carolina rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Rates data updated July 2026.

How much does Tetracycline Injection cost?

$14.13per 250 mg

Typical facility fee. In North Carolina, July 2026.

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

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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

How much rates vary

Facilitymedian $14 · 10th to 90th $14 to $19Professionalmedian $14 · 10th to 90th $14 to $19
$20$50$100facility $14professional $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
$14.13
Median
$14.13
Typical High
$19.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$14.13
Typical High
$19.50
Medcost
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$14.13
Typical High
$16.98
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00

Where North Carolina 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.

North Carolina· 13th of 49

$14.13

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.