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West Virginia rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.53 / $202.49 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.53 / $67.62 / $237.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.84 / $42.84 / $56.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.79 / $49.79 / $49.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.98 / $74.98 / $74.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.48 / $193.39 / $390.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.25 / $248.19 / $421.28