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New Hampshire rates for HCPCS C9285

Lidocaine 70 Mg/Tetracaine 70 Mg Per Patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.29 / $17.29 / $20.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $17.29 / $17.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.26 / $25.43 / $69.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.28 / $17.28 / $17.28
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.29 / $22.82 / $25.94
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.36 / $18.43 / $23.04