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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
$16.68 / $53.13 / $107.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.27 / $16.68 / $17.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.47 / $28.87 / $45.99
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.36 / $16.68 / $28.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.36 / $15.36 / $15.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00