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Louisiana 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
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.22 / $100.84 / $149.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.71 / $108.71 / $110.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $81.59 / $81.59