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Arizona rates for HCPCS B4105

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

Facilitymedian $209 · 10th–90th $49–$4170%10%10th90th$209Professionalmedian $155 · 10th–90th $81–$1550%50%10th$155$50.0$100.0$200.0$500.0

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $204.17 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $53.70 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $218.78 / $575.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78