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Indiana rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $3,801.89 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $131.83 / $288.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $69.18 / $112.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $44.67 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $181.97 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $2,238.72 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $138.04 / $309.03