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Missouri 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 / $22.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.27 / $16.27 / $16.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.48 / $28.82 / $44.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.26 / $16.27 / $20.34
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.27 / $19.89 / $44.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.29 / $77.29 / $77.29