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Mouthpiece

Tennessee rates for HCPCS A4617

Mouthpiece

Rates data updated July 2026.

Facilitymedian $7 · 10th–90th $2$890%50%10th90th$7Professionalmedian $3 · 10th–90th $1$40%20%10th90th$3$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
$2.24
Median
$2.51
Typical High
$3.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$2.63
Typical High
$3.72
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$3.31
Typical High
$5.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$4.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$1.82
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$2.40
Typical High
$4.47
United
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$2.04
Typical High
$2.88