| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.03 | $17.29 | $17.29 | |
BCBS
| Facility | $52.53 | $52.53 | $67.28 | |
Cigna
| Professional | $17.29 | $17.29 | $43.79 | |
MVP Health Care
| Professional | $17.29 | $17.29 | $43.79 |
Lidocaine 70 Mg/Tetracaine 70 Mg Per Patch
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.03 | $17.29 | $17.29 | |
BCBS
| Facility | $52.53 | $52.53 | $67.28 | |
Cigna
| Professional | $17.29 | $17.29 | $43.79 | |
MVP Health Care
| Professional | $17.29 | $17.29 | $43.79 |