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Mouthpiece

Colorado rates for HCPCS A4617

Mouthpiece

Rates data updated July 2026.

Facilitymedian $4 · 10th–90th $2$80%10%10th90th$4Professionalmedian $2 · 10th–90th $1$40%10%20%10th90th$2$0.2$1.0$5.0$20.0

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
$1.86
Median
$1.86
Typical High
$3.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$2.45
Typical High
$3.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.14
Typical High
$3.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$1.82
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$4.07
Typical High
$7.94
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$1.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$6.17
Typical High
$14.13
Select Health
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$8.13
Typical High
$9.33
Select Health
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$4.47
Typical High
$6.03
United
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$2.40
Typical High
$4.47
United
Setting
Professional
Modifier
Global
Typical Low
$1.66
Median
$1.82
Typical High
$3.02