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South Dakota rates for HCPCS C9285

Lidocaine 70 Mg/Tetracaine 70 Mg Per Patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.34 / $20.34 / $20.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.29 / $20.34 / $20.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.96 / $21.96 / $21.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.29 / $17.29 / $17.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.54 / $28.53 / $36.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.29 / $77.29 / $77.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.29 / $17.29 / $17.29
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.95 / $16.95 / $16.95