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South Carolina rates for HCPCS C9285

Lidocaine 70 mg/tetracaine 70 mg, per patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $16.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $30.90 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $18.20 / $28.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20