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Arizona rates for HCPCS B4105

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.34 / $154.34 / $154.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.08 / $192.70 / $321.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.08 / $53.94 / $107.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $81.59 / $81.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.62 / $220.71 / $578.78