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Texas rates for HCPCS C9285

Lidocaine 70 mg/tetracaine 70 mg, per patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.27 / $16.68 / $16.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.27 / $16.68 / $17.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $85.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.29 / $77.29 / $91.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.27 / $17.29 / $46.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.27 / $17.29 / $46.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.29 / $17.29 / $18.64
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.95 / $16.95 / $22.88