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Massachusetts rates for HCPCS B4105

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

Insurance Carrier
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.00 / $156.88 / $337.93
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $102.00 / $107.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.63 / $180.05 / $398.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $81.59 / $81.59
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $3,504.00 / $9,239.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.88 / $156.88 / $308.68