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Pennsylvania rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $144.54 / $323.59
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $204.17 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $162.18 / $346.74
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $309.03 / $446.68
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $229.09 / $436.52
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $2,344.23 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $158.49 / $478.63
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $316.23 / $426.58
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $114.82 / $309.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $114.82 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $676.08 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $141.25 / $309.03