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Mouthpiece

Iowa rates for HCPCS A4617

Mouthpiece

Rates data updated October 2026.

How much does Mouthpiece cost?

$4.27

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $4.27 for this service. The price depends on where it is billed: about $4.27 from a physician practice, and about $4.90 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4.27$3.31 to $4.90
FacilityA hospital or hospital-owned outpatient department$4.90$4.27 to $89.13

How much rates vary

Facilitymedian $5 · 10th to 90th $3 to $89Professionalmedian $4 · 10th to 90th $2 to $7
$2$5$10$20$50$100facility $5professional $4

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.09
Median
$4.27
Typical High
$4.27
Cigna
Setting
Facility
Modifier
None
Typical Low
$4.90
Median
$4.90
Typical High
$4.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.79
Median
$4.90
Typical High
$5.75
Hally Health
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$6.61
Typical High
$10.00
Medica
Setting
Facility
Modifier
None
Typical Low
$3.47
Median
$4.79
Typical High
$89.13
Medica
Setting
Professional
Modifier
None
Typical Low
$2.14
Median
$4.79
Typical High
$44.67
Midlands
Setting
Professional
Modifier
None
Typical Low
$4.90
Median
$4.90
Typical High
$5.13
Midlands
Setting
Professional
Modifier
None
Typical Low
$5.13
Median
$5.75
Typical High
$12.02
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$4.47
Median
$6.17
Typical High
$9.33
United
Setting
Professional
Modifier
None
Typical Low
$1.78
Median
$2.14
Typical High
$3.80
Wellmark
Setting
Professional
Modifier
None
Typical Low
$4.17
Median
$4.17
Typical High
$4.17

Where Iowa 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.

Iowa· 6th of 51

$4.27

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.