go back

Connecticut rates for HCPCS A4617

Mouthpiece

Facilitymedian $2 · 10th–90th $2$20%50%90th$2Professionalmedian $2 · 10th–90th $1$40%20%10th90th$2$0.1$1.0$10.0$100.0$1.0K$10.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $4.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $1.82
ConnectiCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $2.82 / $3.89
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.12 / $4.47 / $8.13
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $6.03 / $6.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $2.24 / $2.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.14 / $7.76