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Idaho rates for HCPCS C9285

Lidocaine 70 mg/tetracaine 70 mg, per patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.29 / $17.29 / $17.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.27 / $17.29 / $17.48
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.27 / $17.48 / $22.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00