go back

New Hampshire 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
$68.70 / $68.70 / $84.55
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
$71.41 / $71.41 / $71.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.92 / $115.97 / $220.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.84 / $80.84 / $80.84
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.70 / $75.58 / $96.19