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Georgia rates for HCPCS 21116

Injection Temporomandibular Joint Arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.81 / $2,987.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.39 / $145.79 / $300.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,875.00 / $7,875.00 / $7,875.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.59 / $72.53 / $163.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.16 / $89.58 / $106.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.98 / $74.98 / $74.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.46 / $166.30 / $431.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.53 / $230.00 / $466.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $290.30 / $609.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.00 / $1,580.00 / $2,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.61 / $233.54 / $470.03