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Tetracycline Injection

South Carolina rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Rates data updated July 2026.

Facilitymedian $13 · 10th–90th $13$550%50%90th$13Professionalmedian $13 · 10th–90th $13$190%50%90th$13$20.0$50.0

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
$13.49
Median
$13.49
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$19.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$19.50
Typical High
$21.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Medcost
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$16.22
Typical High
$18.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20