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Massachusetts rates for HCPCS 21116

Injection Temporomandibular Joint Arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.79 / $2,079.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $139.26 / $250.05
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.16 / $627.00 / $2,733.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.39 / $358.96 / $1,948.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.85 / $64.53 / $116.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.63 / $200.11 / $537.50
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.26 / $168.26 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.77 / $316.04 / $477.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.18 / $164.80 / $578.26
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.00 / $953.00 / $2,796.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.52 / $489.20 / $1,948.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.82 / $358.96 / $596.23