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Tetracycline Injection

Texas rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Rates data updated July 2026.

Facilitymedian $19 · 10th–90th $13$320%20%40%10th90th$19Professionalmedian $13 · 10th–90th $13$190%50%10th90th$13$1.0$5.0$20.0$100.0$500.0$2.0K

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
$13.18
Median
$15.14
Typical High
$31.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.49
Typical High
$18.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$3,388.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$19.05
Typical High
$22.39
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Providence
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$19.05
Typical High
$22.39
Providence
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
United
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$1,258.93
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.35