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Louisiana 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 / $20.34 / $20.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.71 / $14.11 / $18.30
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