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Vermont rates for HCPCS 21116

Injection Temporomandibular Joint Arthrography

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.47 / $53.50 / $183.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.17 / $217.20 / $452.10
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.38 / $217.20 / $493.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.68 / $283.95 / $986.09