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In-Line Digestive Enzyme Cartridge for Enteral Feeding

Indiana rates for HCPCS B4105

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

Rates data updated July 2026.

Facilitymedian $23 · 10th–90th $23$450%50%90th$23Professionalmedian $30 · 10th–90th $23$520%20%40%10th90th$30$20.0$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
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$44.67
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$28.84
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$81.28
Typical High
$81.28