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Minnesota rates for HCPCS 21116

Injection Temporomandibular Joint Arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.83 / $229.42 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.91 / $145.49 / $285.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $207.22 / $406.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.89 / $251.18 / $723.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.85 / $769.22 / $1,850.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.42 / $198.78 / $800.07
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.10 / $678.20 / $1,457.05
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.12 / $299.52 / $730.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.49 / $156.76 / $487.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.96 / $420.13 / $1,885.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,749.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.85 / $306.98 / $760.24