go back

Rhode Island rates for HCPCS A4617

Mouthpiece

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.79 / $2.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.13 / $8.68 / $10.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.27 / $3.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $1.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $2.47 / $4.50