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Lidocaine and Tetracaine Patch

Michigan rates for HCPCS C9285

Lidocaine 70 mg/tetracaine 70 mg, per patch

Rates data updated July 2026.

Facilitymedian $44 · 10th–90th $20$830%5%10th90th$44Professionalmedian $17 · 10th–90th $16$180%50%10th90th$17$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.98
Typical High
$17.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$44.67
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$20.42
Typical High
$57.54
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$21.38
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$17.38