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Massachusetts 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 / $72.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.27 / $17.29 / $17.29
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $85.00 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.29 / $77.29 / $77.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.73 / $23.72 / $43.57
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.29 / $17.29 / $17.29
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $85.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.29 / $77.29 / $77.29