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Mouthpiece

North Dakota rates for HCPCS A4617

Mouthpiece

Rates data updated July 2026.

Facilitymedian $3 · 10th–90th $3$60%20%40%10th90th$3Professionalmedian $3 · 10th–90th $1$50%10%10th90th$3$1.0$2.0$5.0$10.0$20.0$50.0$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
$2.75
Median
$3.16
Typical High
$3.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$2.24
Typical High
$3.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.79
Typical High
$5.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$4.90
Typical High
$6.17
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$3.47
Typical High
$8.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$2.14
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$2.40
Median
$2.40
Typical High
$2.40
United
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$2.34
Typical High
$5.37