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Minnesota rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $229.09 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $144.54 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $288.40 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $234.42 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $812.83 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $194.98 / $794.33
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $776.25 / $1,513.56
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $302.00 / $741.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $154.88 / $478.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $398.11 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,862.09 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $177.83 / $588.84