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Maine 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
$187.55 / $187.55 / $202.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.70 / $68.70 / $68.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.55 / $71.41 / $71.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.41 / $71.41 / $86.48
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.55 / $187.55 / $202.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.70 / $68.70 / $202.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.41 / $80.84 / $121.26