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New York rates for HCPCS B4105

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $124.26 / $191.54
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $110.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $81.59 / $81.59
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.90 / $90.90 / $90.90
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.90 / $90.90 / $109.08
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $81.59 / $196.01
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.90 / $90.90 / $90.90