go back

Rhode Island rates for HCPCS A4617

Mouthpiece

Facilitymedian $9 · 10th–90th $6–$100%20%10th90th$9Professionalmedian $2 · 10th–90th $1–$30%20%40%10th90th$2$1.0$2.0$5.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $8.71 / $10.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $2.29 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $5.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $2.14 / $3.80