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Indiana 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
$468.00 / $468.00 / $468.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.09 / $23.09 / $44.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.09 / $23.09 / $53.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.24 / $264.24 / $264.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.48 / $30.48 / $30.48