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Utah rates for HCPCS C9285

Lidocaine 70 Mg/Tetracaine 70 Mg Per Patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.88 / $16.88 / $16.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $16.88 / $17.48
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.95 / $16.95 / $75.00