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Oklahoma rates for HCPCS C9285

Lidocaine 70 mg/tetracaine 70 mg, per patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.48 / $16.48 / $16.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $16.48 / $16.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.05 / $20.63 / $33.24
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
$16.48 / $17.29 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.29 / $77.29 / $77.29