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Michigan rates for HCPCS 21116

Injection Temporomandibular Joint Arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.13 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $112.64 / $275.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.08 / $800.12 / $1,131.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.15 / $65.73 / $105.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.98 / $74.98 / $74.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.10 / $154.16 / $427.97
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.26 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.33 / $166.32 / $275.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.08 / $197.65 / $279.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $1,438.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.18 / $202.82 / $346.36