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Michigan rates for HCPCS J1436

Injection, etidronate disodium, per 300 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.67 / $64.67 / $201.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.67 / $64.67 / $64.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.70 / $68.70 / $68.70
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.67 / $113.17 / $201.77
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.67 / $70.01 / $84.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.84 / $80.84 / $85.77