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Maine rates for HCPCS 21116

Injection Temporomandibular Joint Arthrography

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.41 / $145.79 / $252.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.46 / $64.09 / $96.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.70 / $199.44 / $431.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.41 / $165.57 / $452.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.83 / $59.11 / $252.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.39 / $220.99 / $507.39