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Tetracycline Injection

New Hampshire rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Rates data updated July 2026.

Facilitymedian $14 · 10th–90th $14$180%50%90th$14Professionalmedian $14 · 10th–90th $1$760%20%10th90th$14$1.0$2.0$5.0$10.0$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
$17.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$15.85
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$70.79
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$39.81
Typical High
$89.13