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New Hampshire rates for HCPCS 21116

Injection Temporomandibular Joint Arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $349.91 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $145.79 / $234.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.70 / $79.93 / $119.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.18 / $191.56 / $572.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.20 / $173.91 / $649.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,360.00 / $3,360.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.82 / $314.89 / $597.51
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.44 / $51.02 / $192.59