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Nevada rates for HCPCS A4617

Mouthpiece

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $3.71 / $3.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $2.76 / $3.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $3.68 / $3.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $2.12 / $2.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $9.92
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $3.06 / $7.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.84 / $3.05