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Utah rates for HCPCS 21116

Injection Temporomandibular Joint Arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.54 / $2,164.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.40 / $198.06 / $452.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.31 / $167.11 / $366.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $170.65 / $222.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.82 / $126.02 / $354.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.18 / $202.82 / $404.63