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Tetracycline Injection

Ohio rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Rates data updated July 2026.

Facilitymedian $36 · 10th–90th $13$420%20%10th90th$36Professionalmedian $13 · 10th–90th $1$360%20%10th90th$13$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
$13.18
Median
$36.31
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.49
Typical High
$36.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.15
Typical High
$1.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$50.12
Typical High
$50.12
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26