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Missouri rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $2,570.40 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $144.54 / $323.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,570.88 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $56.23 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $181.97 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $158.49 / $371.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $181.97 / $524.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $316.23 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $707.95 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $151.36 / $316.23