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Florida rates for HCPCS 21116

Injection Temporomandibular Joint Arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.66 / $3,261.00 / $10,802.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.35 / $112.64 / $237.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.09 / $41.15 / $74.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.75 / $148.57 / $324.19
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.00 / $2,689.00 / $6,584.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.23 / $151.22 / $266.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.31 / $203.44 / $340.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.00 / $1,916.00 / $4,970.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.63 / $202.82 / $385.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.70 / $113.09 / $113.09