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Tetracycline Injection

West Virginia rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Rates data updated October 2026.

How much rates vary

Facilitymedian $65 · 10th to 90th $65 to $65Professionalmedian $14 · 10th to 90th $13 to $14
$20$50facility $65professional $14

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$13.18
Typical High
$13.18