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Rhode Island rates for HCPCS 21116

Injection Temporomandibular Joint Arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.68 / $124.66 / $193.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.95 / $441.92 / $498.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.28 / $113.08 / $276.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.46 / $154.16 / $454.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.16 / $282.52 / $450.42