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Oklahoma rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $2,398.83 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $112.20 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $147.91 / $295.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $213.80 / $1,548.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $223.87 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $630.96 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $117.49 / $239.88