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Ohio rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.31 / $34.44 / $55.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.31 / $13.31 / $37.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.14 / $2.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,702.01 / $59,702.01 / $59,702.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $50.00