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Lidocaine and Tetracaine Patch

South Dakota rates for HCPCS C9285

Lidocaine 70 mg/tetracaine 70 mg, per patch

Rates data updated July 2026.

Facilitymedian $17 · 10th–90th $17$310%50%90th$17Professionalmedian $17 · 10th–90th $16$200%50%10th90th$17$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$17.38
Typical High
$20.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$27.54
Typical High
$36.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Midlands
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$16.98