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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
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.38 / $145.49 / $452.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.78 / $170.97 / $363.90
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.25 / $273.25 / $319.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.54 / $195.59 / $452.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.45 / $299.52 / $400.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $119.92 / $357.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $106.60 / $449.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.80 / $236.04 / $358.99