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Mouthpiece

Hawaii rates for HCPCS A4617

Mouthpiece

Rates data updated July 2026.

How much does Mouthpiece cost?

$2.82

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $2.82 for this service. The price depends on where it is billed: about $2.82 from a physician practice, and about $1.58 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.82$1.91 to $4.07
FacilityA hospital or hospital-owned outpatient department$1.58$1.58 to $1.58

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $3Professionalmedian $3 · 10th to 90th $1 to $5
$2$5facility $2professional $3

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1.58
Median
$1.58
Typical High
$1.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$2.57
Typical High
$3.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$3.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$6.17
HMSA
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.68
Typical High
$4.68
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$4.47
Typical High
$8.71
United
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$2.14
Typical High
$2.88
United
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$2.14
Typical High
$4.27

Where Hawaii sits

The same service costs 2.3 times more in Minnesota than in Rhode Island. 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· 21st of 51

$2.82

MN $4.37RI $1.91

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.