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Minnesota rates for HCPCS B4105

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.00 / $395.00 / $395.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.19 / $131.19 / $131.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $131.19 / $196.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.30 / $140.38 / $140.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.02 / $582.88 / $1,402.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.83 / $214.72 / $232.41
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.13 / $532.90 / $1,104.09
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.00 / $183.00 / $248.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.62 / $146.62 / $578.78