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Oklahoma rates for HCPCS J1436

Injection, etidronate disodium, per 300 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.48 / $65.48 / $130.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.48 / $65.48 / $65.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.48 / $67.50 / $93.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.84 / $80.84 / $80.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.84 / $80.84 / $80.84