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Nationwide rates for HCPCS A4617

Mouthpiece

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.45 / $5.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $4.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $1.95 / $4.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $2.14 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $6.92 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.78 / $6.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $2.14 / $2.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $2.14 / $3.47