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South Carolina 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
$66.29 / $66.29 / $268.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.29 / $68.70 / $68.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.98 / $97.27 / $106.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.72 / $76.95 / $92.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.11 / $72.92 / $102.89
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 / $80.84