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Montana rates for HCPCS C9285

Lidocaine 70 Mg/Tetracaine 70 Mg Per Patch

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.27 / $16.88 / $16.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.29 / $17.29 / $17.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.04 / $17.29 / $17.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.60 / $21.19 / $21.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.29 / $20.34 / $21.19