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Iowa rates for HCPCS C9285

Lidocaine 70 Mg/Tetracaine 70 Mg Per Patch

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.27 / $16.27 / $17.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.75 / $23.75 / $25.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.29 / $17.29 / $27.68
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.00 / $150.00 / $275.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.27 / $18.71 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.29 / $77.29 / $77.29
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.95 / $16.95 / $16.95