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Mouthpiece

Kansas rates for HCPCS A4617

Mouthpiece

Rates data updated October 2026.

How much does Mouthpiece cost?

$2.57

Typical negotiated rate. In Kansas, October 2026.

Insurers have agreed to pay about $2.57 for this service. The price depends on where it is billed: about $2.57 from a physician practice, and about $2.29 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.57$2.14 to $5.62
FacilityA hospital or hospital-owned outpatient department$2.29$2.19 to $2.40

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $5Professionalmedian $3 · 10th to 90th $2 to $45
$2$5$10$20$50$100facility $2professional $3

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
$5.75
Median
$5.75
Typical High
$5.75
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.63
Median
$5.62
Typical High
$5.75
Ambetter
Setting
Professional
Modifier
None
Typical Low
$2.19
Median
$2.63
Typical High
$4.47
BCBS Kansas
Setting
Facility
Modifier
None
Typical Low
$2.19
Median
$2.24
Typical High
$2.29
BCBS Kansas
Setting
Professional
Modifier
None
Typical Low
$2.57
Median
$2.57
Typical High
$2.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.82
Median
$1.82
Typical High
$1.82
Medica
Setting
Facility
Modifier
None
Typical Low
$2.29
Median
$3.72
Typical High
$89.13
Medica
Setting
Professional
Modifier
None
Typical Low
$1.82
Median
$5.50
Typical High
$44.67
United
Setting
Professional
Modifier
None
Typical Low
$1.45
Median
$2.14
Typical High
$2.88

Where Kansas 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.

Kansas· 32nd of 51

$2.57

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.