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Michigan rates for HCPCS C9285

Lidocaine 70 mg/tetracaine 70 mg, per patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.27 / $16.27 / $16.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.27 / $16.27 / $17.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.82 / $42.10 / $82.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.29 / $17.29 / $17.29
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.27 / $17.97 / $20.34
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.27 / $17.97 / $21.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $100.00