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Delaware rates for HCPCS A4617

Mouthpiece

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $2.12 / $2.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $1.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $2.16 / $3.41