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North Carolina rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.14 / $14.14 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.81 / $14.14 / $16.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.14 / $14.14 / $14.99
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00