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Texas rates for HCPCS J1436

Injection, etidronate disodium, per 300 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.67 / $72.92 / $155.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.67 / $66.29 / $92.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.09 / $76.13 / $76.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $155.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.67 / $92.44 / $98.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.63 / $60.63 / $60.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.67 / $76.13 / $109.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.63 / $60.63 / $60.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.84 / $80.84 / $80.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.41 / $71.41 / $96.40