| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.70 | $68.70 | $68.70 | |
United
| Professional | $64.67 | $79.22 | $121.26 |
Injection Etidronate Disodium Per 300 Mg (Special Coverage Instructions Apply. See Mcm: 2049)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.70 | $68.70 | $68.70 | |
United
| Professional | $64.67 | $79.22 | $121.26 |