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North Carolina rates for HCPCS J1436

Injection, etidronate disodium, per 300 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.70 / $68.70 / $92.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.09 / $68.70 / $80.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.70 / $72.83 / $89.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.80 / $76.80 / $76.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.84 / $80.84 / $105.09
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00