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In-Line Digestive Enzyme Cartridge for Enteral Feeding

Louisiana rates for HCPCS B4105

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

Rates data updated July 2026.

Facilitymedian $69 · 10th–90th $0$1380%20%10th90th$69Professionalmedian $155 · 10th–90th $81$1550%50%10th$155$0.0$0.1$0.5$2.0$10.0$50.0

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
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$69.18
Typical High
$138.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28