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Vermont rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $144.54 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $218.78 / $602.56
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $190.55 / $501.19