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Nebraska rates for HCPCS B4105

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

Facilitymedian $724 · 10th–90th $575–$1,5490%20%10th90th$724Professionalmedian $155 · 10th–90th $155–$1550%50%$155$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $794.33 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $229.09
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $575.44 / $575.44