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Virginia rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $2,630.27 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $131.83 / $288.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $58.88 / $100.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $58.88 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $158.49 / $398.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $263.03 / $323.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $295.12 / $501.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $144.54 / $354.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $58.88 / $1,174.90
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $251.19 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $1,148.15 / $2,398.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $125.89 / $346.74