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Nebraska rates for HCPCS J1436

Injection, etidronate disodium, per 300 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.67 / $155.38 / $178.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.67 / $64.67 / $108.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.63 / $80.84 / $80.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.79 / $80.03 / $80.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.88 / $73.88 / $92.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.50 / $67.50 / $122.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.84 / $80.84 / $80.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.17 / $89.17 / $129.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.17 / $129.68 / $129.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.80 / $80.84 / $80.84