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Washington rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $1,000.00 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $138.04 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $162.18 / $549.54
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $128.82 / $478.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $128.82 / $478.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $33.11 / $70.79
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $338.84 / $426.58
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $302.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $234.42 / $562.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $165.96 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $660.69 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $162.18 / $467.74
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $72.44 / $323.59