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Iowa rates for HCPCS 21116

Injection Temporomandibular Joint Arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.00 / $3,576.15 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.33 / $124.66 / $343.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.42 / $210.82 / $610.62
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.75 / $254.37 / $357.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.65 / $300.00 / $605.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.09 / $427.60 / $1,885.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.65 / $274.00 / $519.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.65 / $287.13 / $576.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $277.80 / $416.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.00 / $1,623.00 / $2,126.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.48 / $296.18 / $602.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.70 / $103.60 / $467.30