| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.70 | $68.70 | $115.28 | |
United
| Professional | $68.70 | $80.84 | $85.69 |
Injection Etidronate Disodium Per 300 Mg (Special Coverage Instructions Apply. See Mcm: 2049)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.70 | $68.70 | $115.28 | |
United
| Professional | $68.70 | $80.84 | $85.69 |