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Tetracycline Injection

Rhode Island rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Rates data updated July 2026.

How much rates vary

Facilitymedian $54 · 10th to 90th $27 to $54Professionalmedian $14 · 10th to 90th $14 to $14
$20$50facility $54professional $14

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$53.70
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81