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North Dakota 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
$131.19 / $131.19 / $131.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.26 / $115.65 / $136.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.00 / $184.83 / $228.75