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Mouthpiece

Nationwide rates for HCPCS A4617

Mouthpiece

Rates data updated July 2026.

Facilitymedian $3 · 10th–90th $2$90%20%10th90th$3Professionalmedian $3 · 10th–90th $1$50%20%40%10th90th$3$0.1$1.0$20.0$500.0$10.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$2.82
Typical High
$4.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$2.69
Typical High
$3.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$1.95
Typical High
$4.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.24
Median
$2.14
Typical High
$5.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$6.76
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$6.03
United
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$2.34
Typical High
$4.47
United
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$2.14
Typical High
$6.46