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Colorado rates for HCPCS A4617

Mouthpiece

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.95 / $3.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $2.12 / $2.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $3.66
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $3.12 / $8.17
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.37 / $1.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.68 / $5.63 / $9.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $1.84 / $2.88