go back

Georgia rates for HCPCS B4105

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.05 / $53.00 / $53.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.38 / $144.51 / $281.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $81.59 / $81.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.34 / $131.19 / $509.00