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Oklahoma rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.48 / $13.48 / $26.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.48 / $13.48 / $13.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.32 / $0.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.13 / $14.15 / $100.00