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North Dakota rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Facilitymedian $16 · 10th–90th $13–$300%20%10th90th$16Professionalmedian $13 · 10th–90th $13–$160%50%90th$13$10.0$20.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $13.18 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $12.59
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.71 / $10.23