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Montana rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.08 / $185.82 / $300.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.41 / $69.41 / $69.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.10 / $132.19 / $340.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.72 / $185.82 / $312.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.95 / $215.13 / $482.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.55 / $303.48 / $365.29