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California rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $6,025.60 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $158.49 / $478.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,466.84 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $83.18 / $302.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $134.90 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $173.78 / $407.38
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $138.04 / $380.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $204.17 / $407.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,288.25 / $1,288.25
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,949.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $288.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $141.25 / $380.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $177.83 / $446.68
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $660.69
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $223.87 / $295.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,584.89 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $141.25 / $331.13