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Mouthpiece

Kansas rates for HCPCS A4617

Mouthpiece

Rates data updated July 2026.

Facilitymedian $3 · 10th–90th $1$60%10%10th90th$3Professionalmedian $3 · 10th–90th $2$30%50%10th90th$3$0.2$1.0$5.0$20.0$100.0

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$4.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$2.45
Typical High
$4.57
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$3.09
Typical High
$4.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.14
Median
$2.24
Typical High
$2.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$2.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$5.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$3.24
Typical High
$8.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$2.14
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$4.47
Typical High
$4.47
United
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$2.04
Typical High
$3.63