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In-Line Digestive Enzyme Cartridge for Enteral Feeding

Ohio rates for HCPCS B4105

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

Rates data updated July 2026.

Facilitymedian $155 · 10th–90th $155$1660%50%90th$155Professionalmedian $155 · 10th–90th $52$1550%50%10th$155$50.0$100.0$200.0$500.0

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$58.88
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$104.71
Typical High
$151.36