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Vermont rates for HCPCS C9285

Lidocaine 70 mg/tetracaine 70 mg, per patch

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.03 / $17.29 / $17.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.53 / $52.53 / $67.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.29 / $17.29 / $43.79
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.29 / $17.29 / $43.79