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Tennessee rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.21 / $1,794.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.33 / $139.26 / $275.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $150.00 / $1,676.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.88 / $132.52 / $326.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.66 / $74.98 / $199.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.93 / $148.91 / $344.71
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $377.57 / $387.66
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.67 / $1,739.48 / $1,948.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $814.00 / $2,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.02 / $231.31 / $426.40