go back

Wyoming rates for HCPCS 21116

Injection procedure for temporomandibular joint arthrography

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.96 / $94.08 / $300.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.00 / $152.00 / $614.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.23 / $130.56 / $394.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.47 / $354.41 / $496.58