I am a PA. We give Reclast and have for many years here at an IM clinic.
We do a consult first for the Reclast- which we bag about $120 for(99213). (15min visit) Then we charge the IV fee for the actual infusion which we do a week later once the patient is approved- $90 visit (96365). We charge about $200 more for the Reclast than what we get it for, so we get about $400 per patient. We do about 5 a month. The tubing is very cheap- $6. It takes 2 minutes for the nurse to get it approved and order the medicine. (so it brings in about $20K plus a year for us). The hospital infusion center charges $7,000 for it! So, patients from other clinics beg for us to give it to them, and transfer here to our clinic to get it, rather than stay with their PCP who sends them to the expensive infusion center. At the infusion center it takes 2 hours to give it, here, 20 minutes.
Patients love it, their medicare supplements cover it, so it is usually covered at 100%. Our Dexa's are improving at great numbers!
BUT---- I can't wait for Prolia to come out- beware!!! Amgen has a GREAT product here!