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Missouri 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
$50.40 / $50.40 / $70.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $81.59 / $184.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.62 / $578.78 / $578.78