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Oklahoma rates for HCPCS B4105

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

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $81.59 / $81.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.62 / $146.62 / $578.78