go back

Kansas rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.00 / $3,506.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.17 / $147.86 / $343.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.42 / $75.42 / $272.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.81 / $154.16 / $324.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $192.60 / $416.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.96 / $282.31 / $1,885.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $550.00 / $1,769.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.69 / $225.15 / $312.04