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Arizona rates for HCPCS C9285

Lidocaine 70 mg/tetracaine 70 mg, per patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.48 / $31.03 / $31.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.27 / $16.48 / $17.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.65 / $31.40 / $85.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $16.27 / $38.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.29 / $17.29 / $17.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.29 / $17.29 / $17.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.48 / $18.13 / $35.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.29 / $77.29 / $77.29