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Arizona rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $7,562.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.35 / $124.66 / $223.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.70 / $241.04 / $397.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.06 / $168.20 / $275.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.98 / $74.98 / $74.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.54 / $154.16 / $360.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.90 / $195.59 / $434.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.47 / $266.67 / $1,885.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.80 / $202.32 / $381.62