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Rhode Island rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,548.82 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $123.03 / $288.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $457.09 / $524.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $114.82 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $154.88 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,412.54 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $158.49 / $371.54