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Washington rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Facilitymedian $14 · 10th–90th $14$330%50%90th$14Professionalmedian $14 · 10th–90th $13$160%20%40%10th90th$14$5.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $14.13 / $15.85
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $39.81