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South Carolina rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Facilitymedian $295 · 10th–90th $51–$9,1200%5%10th90th$295Professionalmedian $126 · 10th–90th $40–$2950%10%10th90th$126$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $4,897.79 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $128.82 / $288.40
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $91.20 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $186.21 / $338.84
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $165.96 / $371.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $1,174.90 / $4,677.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $128.82 / $309.03