go back

Maryland rates for HCPCS C9285

Lidocaine 70 mg/tetracaine 70 mg, per patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.10 / $27.10 / $27.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.68 / $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