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Maine rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $120.23 / $275.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $67.61 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $213.80 / $426.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $199.53 / $588.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $147.91 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $151.36 / $426.58