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Tetracycline Injection

South Dakota rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Rates data updated July 2026.

Facilitymedian $21 · 10th–90th $13$410%10%20%10th90th$21Professionalmedian $13 · 10th–90th $10$170%20%10th90th$13$10.0$20.0

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
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$16.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$12.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$22.39
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$10.23