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New Jersey rates for HCPCS J0120

Injection Tetracycline Up To 250 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.14 / $19.94 / $34.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $13.81 / $14.14
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.12 / $478.12 / $478.12