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Louisiana rates for HCPCS 21116

Injection Temporomandibular Joint Arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.21 / $1,230.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.40 / $139.26 / $298.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.37 / $230.37 / $305.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.11 / $87.51 / $322.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.11 / $38.11 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.06 / $82.06 / $82.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.55 / $150.18 / $348.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.00 / $580.00 / $1,506.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.93 / $213.68 / $396.26