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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
$43.65 / $199.53 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $83,176.38 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $131.83 / $363.08
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $114.82 / $371.54
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $114.82 / $371.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $169.82 / $398.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $120.23 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $141.25 / $346.74