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Texas rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $2,454.71 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $138.04 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,691.53 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $239.88 / $316.23
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $169.82 / $380.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $1,288.25
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,949.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $194.98 / $660.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $138.04 / $389.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $35.48 / $181.97
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $316.23 / $467.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $144.54 / $354.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $165.96 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $1,047.13 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $125.89 / $275.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $223.87 / $263.03