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California rates for HCPCS C9285

Lidocaine 70 mg/tetracaine 70 mg, per patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.88 / $16.88 / $26.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.27 / $16.88 / $17.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.55 / $18.39 / $24.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.17 / $17.14 / $30.92
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.29 / $17.29 / $26.04
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.29 / $17.29 / $17.29
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
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.95 / $16.95 / $25.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $393.93 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $85.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.29 / $77.29 / $91.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.64 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.27 / $17.29 / $35.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.29 / $17.29 / $21.19
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.95 / $25.43 / $25.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.90 / $65.90 / $65.90