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Louisiana rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $1,288.25 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $117.49 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $169.82 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $87.10 / $323.59
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $147.91 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $512.86 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $138.04 / $309.03