go back

Maine 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
$53.00 / $53.00 / $53.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $81.59 / $81.59