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Idaho rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $131.83 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $380.19 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $269.15 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $173.78 / $380.19
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $316.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $186.21 / $436.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $223.87 / $457.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $83.18 / $134.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $109.65 / $446.68
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $204.17 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $8,317.64 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $144.54 / $338.84