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North Dakota rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.69 / $201.15 / $2,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.89 / $133.79 / $229.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.79 / $123.14 / $524.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.98 / $74.98 / $74.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $175.85 / $529.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.10 / $187.05 / $358.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.82 / $417.66 / $1,885.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.68 / $297.18 / $528.59