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Tetracycline Injection

Washington rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Rates data updated July 2026.

Facilitymedian $14 · 10th–90th $14$330%50%90th$14Professionalmedian $14 · 10th–90th $13$140%50%10th$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
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$33.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$14.13
Typical High
$14.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$39.81