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North Carolina 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
$50.90 / $50.90 / $50.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.84 / $63.84 / $63.84
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.88 / $308.68 / $308.68