go back

Tennessee rates for HCPCS A4617

Mouthpiece

Facilitymedian $89 · 10th–90th $2–$890%50%10th$89Professionalmedian $2 · 10th–90th $1–$40%20%10th90th$2$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.51 / $3.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $2.00 / $3.16
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $3.09 / $5.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $4.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $6.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $1.82
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $45.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $2.29 / $2.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $2.04 / $2.88