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New Mexico 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
$514.00 / $514.00 / $514.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.62 / $128.62 / $128.62