go back

North Dakota rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $199.53 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $131.83 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $123.03 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $186.21 / $524.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $165.96 / $354.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $338.84 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $158.49 / $457.09