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Kentucky 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
$154.34 / $154.34 / $154.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.75 / $53.00 / $53.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.19 / $131.19 / $131.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $196.01 / $196.01