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South Dakota rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Facilitymedian $16 · 10th–90th $16–$250%50%90th$16Professionalmedian $14 · 10th–90th $10–$160%20%10th90th$14$10.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $14.13 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $12.59
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $22.39 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $10.23