J2002 — Lidocaine (pf) 4 Mg/ml (0.4 %) In 5 % Dextrose Intravenous Solution
$5,634
All-payer median here
$4,939
Cash / self-pay here
2
payer/plan-name variants
Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.