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Mouthpiece

Louisiana rates for HCPCS A4617

Mouthpiece

Rates data updated October 2026.

How much does Mouthpiece cost?

$2.75

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $2.75 for this service. The price depends on where it is billed: about $2.75 from a physician practice, and about $6.46 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$2.75$1.82 to $2.75
FacilityA hospital or hospital-owned outpatient department$6.46$4.68 to $7.76

How much rates vary

Facilitymedian $6 · 10th to 90th $4 to $9Professionalmedian $3 · 10th to 90th $2 to $3
$2$5$10$20facility $6professional $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
$2.45
Median
$2.45
Typical High
$3.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.45
Median
$3.09
Typical High
$3.24
Ambetter
Setting
Professional
Modifier
None
Typical Low
$3.31
Median
$3.31
Typical High
$4.47
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$3.80
Median
$6.61
Typical High
$9.33
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$2.75
Median
$2.75
Typical High
$2.75
Christus
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.82
Median
$1.82
Typical High
$1.82
United
Setting
Professional
Modifier
None
Typical Low
$1.23
Median
$2.09
Typical High
$3.02

Where Louisiana 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.

Louisiana· 26th of 51

$2.75

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.