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In-Line Digestive Enzyme Cartridge for Enteral Feeding

Arizona rates for HCPCS B4105

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

Rates data updated October 2026.

How much does In-Line Digestive Enzyme Cartridge for Enteral Feeding cost?

$155

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $155 for this service. Most negotiated rates run $54.95 to $229.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $186 · 10th to 90th $49 to $347Professionalmedian $155 · 10th to 90th $54 to $155
$50$100$200$500facility $186professional $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
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$194.98
Typical High
$338.84
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$53.70
Typical High
$93.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Medica
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$169.82
Typical High
$575.44
United
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$173.78

Where Arizona sits

The same service costs 26.9 times more in Nebraska than in Indiana. 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.

Arizona· 8th of 51

$155

NE $617IN $22.91

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.