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Tetracycline Injection

New York rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Rates data updated July 2026.

Facilitymedian $14 · 10th–90th $11$330%20%40%10th90th$14Professionalmedian $178 · 10th–90th $11$3020%20%10th90th$178$1.0$10.0$100.0$1.0K$10.0K

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
$13.18
Median
$14.13
Typical High
$33.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$13.18
Typical High
$14.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$239.88
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$7.94
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$39.81
Typical High
$40.74
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
United
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$25.70
Typical High
$60.26
Univera
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
Univera
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.30
Typical High
$12.30