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Ohio rates for HCPCS B4105

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.34 / $154.34 / $521.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.34 / $154.34 / $154.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.05 / $53.00 / $84.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $81.59 / $81.59
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $81.59 / $81.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $105.00 / $157.50