go back

Mississippi rates for HCPCS A4617

Mouthpiece

Facilitymedian $4 · 10th–90th $2$40%50%10th90th$4Professionalmedian $2 · 10th–90th $1$30%20%10th90th$2$1.0$2.0$5.0$10.0$20.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $3.02 / $4.47
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $3.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $3.09
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $2.04 / $2.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $2.04 / $3.02