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Utah rates for HCPCS C9285

Lidocaine 70 mg/tetracaine 70 mg, per patch

Facilitymedian $16 · 10th–90th $16–$160%50%$16Professionalmedian $17 · 10th–90th $16–$170%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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $30.20 / $75.86
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $18.20 / $18.20
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42