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Nebraska rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Facilitymedian $2,188 · 10th–90th $78–$8,5110%10%10th90th$2,188Professionalmedian $166 · 10th–90th $41–$4270%10%20%10th90th$166$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $3,801.89 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $154.88 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $436.52 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $100.00 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $281.84 / $512.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $263.03 / $478.63
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $316.23 / $1,905.46
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $398.11 / $512.86
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $309.03 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $1,548.82 / $4,466.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $204.17 / $457.09