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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
$625.00 / $2,536.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.75 / $131.07 / $210.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.45 / $61.04 / $275.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.72 / $153.72 / $258.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.78 / $159.19 / $257.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.33 / $200.16 / $871.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.13 / $223.10 / $1,885.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.01 / $202.82 / $334.65