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In-Line Digestive Enzyme Cartridge for Enteral Feeding

Alabama rates for HCPCS B4105

In-line cartridge containing digestive enzyme(s) for enteral feeding, each

Rates data updated October 2026.

How much rates vary

Professionalmedian $155 · 10th to 90th $81 to $155
$100professional $155

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$100.00