| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.29 | $17.29 | $17.29 | |
Aetna
| Professional | $16.27 | $16.88 | $17.29 | |
Cigna
| Facility | $17.29 | $17.29 | $17.29 | |
Cigna
| Professional | $17.29 | $17.29 | $17.29 |
Lidocaine 70 Mg/Tetracaine 70 Mg Per Patch
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.29 | $17.29 | $17.29 | |
Aetna
| Professional | $16.27 | $16.88 | $17.29 | |
Cigna
| Facility | $17.29 | $17.29 | $17.29 | |
Cigna
| Professional | $17.29 | $17.29 | $17.29 |