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Nebraska rates for HCPCS B4105

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

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.59 / $801.77 / $1,675.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.00 / $183.00 / $228.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.62 / $578.78 / $578.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.31 / $133.31 / $133.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.31 / $133.31 / $133.31