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Tetracycline Injection

North Carolina rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Rates data updated July 2026.

Facilitymedian $14 · 10th–90th $14$190%50%90th$14Professionalmedian $14 · 10th–90th $14$190%50%10th90th$14$20.0$50.0$100.0

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
$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