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In-Line Digestive Enzyme Cartridge for Enteral Feeding

Illinois rates for HCPCS B4105

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

Rates data updated July 2026.

Facilitymedian $776 · 10th–90th $302$1,5140%10%10th90th$776Professionalmedian $98 · 10th–90th $98$1550%50%90th$98$100.0$200.0$500.0$1.0K

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
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$776.25
Typical High
$1,513.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$302.00
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$125.89