go back

Nebraska rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.15 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.79 / $202.36 / $343.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.78 / $448.29 / $841.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.54 / $98.98 / $400.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.33 / $293.57 / $510.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.69 / $303.54 / $481.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.79 / $384.83 / $1,885.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.62 / $394.61 / $519.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.65 / $287.89 / $519.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.46 / $360.69 / $511.97