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Mouthpiece

Wyoming rates for HCPCS A4617

Mouthpiece

Rates data updated October 2026.

How much does Mouthpiece cost?

$4.27

Typical negotiated rate. In Wyoming, October 2026.

Insurers have agreed to pay about $4.27 for this service. Most negotiated rates run $3.16 to $4.27.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4 · 10th to 90th $4 to $4Professionalmedian $4 · 10th to 90th $2 to $4
$2facility $4professional $4

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.86
Median
$3.80
Typical High
$3.80
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
BCBS Wyoming
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.95
Median
$2.95
Typical High
$2.95
BCBS Wyoming
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.85
Median
$0.85
Typical High
$0.85
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.82
Median
$1.82
Typical High
$1.82
United
Setting
Professional
Modifier
None
Typical Low
$1.66
Median
$1.82
Typical High
$2.14

Where Wyoming sits

The same service costs 2.6 times more in Hawaii than in California. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wyoming· 7th of 51

$4.27

HI $4.79CA $1.82

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.