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In-Line Digestive Enzyme Cartridge for Enteral Feeding

Michigan rates for HCPCS B4105

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

Rates data updated July 2026.

Facilitymedian $120 · 10th–90th $107$5370%20%10th90th$120Professionalmedian $204 · 10th–90th $155$2750%20%10th90th$204$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$416.87
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
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$120.23
Typical High
$537.03
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$204.17
Typical High
$257.04