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Iowa rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Facilitymedian $1,622 · 10th–90th $72–$5,8880%10%10th90th$1,622Professionalmedian $155 · 10th–90th $41–$3470%10%10th90th$155$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
$70.79 / $2,511.89 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $144.54 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $186.21 / $630.96
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $269.15 / $398.11
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $316.23 / $1,202.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $398.11 / $1,905.46
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $363.08 / $575.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $275.42 / $575.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,621.81 / $2,951.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $173.78 / $467.74
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $104.71 / $467.74