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Alaska rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Facilitymedian $195 · 10th–90th $47–$4370%5%10th90th$195Professionalmedian $148 · 10th–90th $43–$5750%10%10th90th$148$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $5,888.44 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $138.04 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $158.49 / $588.84
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $173.78 / $407.38
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $309.03 / $870.96
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $660.69 / $1,071.52
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $173.78 / $380.19
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $158.49 / $602.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $223.87 / $562.34