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Mouthpiece

Hawaii rates for HCPCS A4617

Mouthpiece

Rates data updated October 2026.

How much does Mouthpiece cost?

$4.79

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $4.79 for this service. Most negotiated rates run $4.47 to $4.79.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3 · 10th to 90th $3 to $3Professionalmedian $5 · 10th to 90th $4 to $5
$2$5facility $3professional $5

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.23
Median
$2.45
Typical High
$3.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$3.47
Median
$3.47
Typical High
$3.47
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.79
Median
$4.79
Typical High
$4.79
HMSA
Setting
Professional
Modifier
None
Typical Low
$4.47
Median
$4.47
Typical High
$4.68
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$3.09
Median
$3.98
Typical High
$8.71
United
Setting
Professional
Modifier
None
Typical Low
$3.09
Median
$4.79
Typical High
$4.79
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$3.63
Median
$3.63
Typical High
$4.07

Where Hawaii sits

The same service costs 2.6 times more in Hawaii than in California. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Hawaii· 1st of 51

$4.79

HI $4.79CA $1.82

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.