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Maryland rates for HCPCS B4105

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

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $81.59 / $81.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.12 / $148.63 / $156.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.70 / $74.70 / $74.70