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Kansas rates for HCPCS B4105

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

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.91 / $54.06 / $57.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $102.00 / $102.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $81.59 / $81.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.62 / $578.78 / $578.78