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Kansas rates for HCPCS C9285

Lidocaine 70 mg/tetracaine 70 mg, per patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.34 / $20.34 / $20.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.27 / $16.27 / $20.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.55 / $20.58 / $21.31
BCBS
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 / $18.00 / $18.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.29 / $17.29 / $17.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.27 / $19.04 / $45.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.29 / $77.29 / $77.29