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Mouthpiece

Wyoming rates for HCPCS A4617

Mouthpiece

Rates data updated July 2026.

Facilitymedian $3 · 10th–90th $2$40%50%10th90th$3Professionalmedian $2 · 10th–90th $1$40%10%20%10th90th$2$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
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$2.45
Typical High
$3.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$1.82
United
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$2.88
Typical High
$4.47
United
Setting
Professional
Modifier
Global
Typical Low
$1.66
Median
$1.82
Typical High
$2.88