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Missouri rates for HCPCS 21116

Injection Temporomandibular Joint Arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.32 / $3,158.00 / $9,304.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.72 / $145.49 / $239.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,214.00 / $10,011.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.00 / $58.17 / $88.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.98 / $74.98 / $74.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.22 / $163.19 / $375.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.17 / $180.00 / $440.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.71 / $313.92 / $1,885.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $875.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.40 / $237.70 / $412.63