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Tetracycline Injection

Oklahoma rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Rates data updated July 2026.

Facilitymedian $0 · 10th–90th $0$130%10%20%10th90th$0Professionalmedian $13 · 10th–90th $13$130%50%100%$13$0.1$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
$13.49
Median
$13.49
Typical High
$23.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.19
Median
$0.28
Typical High
$0.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$14.13
Typical High
$100.00