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South Dakota rates for HCPCS J1436

Injection, etidronate disodium, per 300 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.84 / $80.84 / $80.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.09 / $80.84 / $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
$92.48 / $108.84 / $199.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.84 / $80.84 / $88.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.17 / $89.17 / $129.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.84 / $80.84 / $88.92