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Ohio rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.84 / $2,113.00 / $10,268.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.32 / $145.79 / $275.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.61 / $50.40 / $89.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.34 / $51.89 / $61.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.51 / $231.26 / $360.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.98 / $74.98 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.73 / $163.96 / $351.44
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.98 / $74.98 / $199.14
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.73 / $161.19 / $351.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.59 / $215.62 / $304.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.00 / $1,009.00 / $3,218.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.91 / $243.38 / $490.10