go back

Idaho rates for HCPCS J1436

Injection Etidronate Disodium Per 300 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.84 / $80.84 / $80.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.67 / $68.70 / $80.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.70 / $73.69 / $99.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.84 / $80.84 / $113.18