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Tetracycline Injection

Oregon rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Rates data updated July 2026.

Facilitymedian $20 · 10th–90th $17$330%20%40%10th90th$20Professionalmedian $14 · 10th–90th $14$170%50%90th$14$20.0$50.0$100.0$200.0$500.0

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
$16.60
Median
$33.11
Typical High
$33.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$16.60
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$19.95
Typical High
$19.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$19.95
Typical High
$19.95
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63