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In-Line Digestive Enzyme Cartridge for Enteral Feeding

Oklahoma rates for HCPCS B4105

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

Rates data updated July 2026.

Facilitymedian $148 · 10th–90th $148$5750%50%90th$148Professionalmedian $81 · 10th–90th $81$810%50%100%$81$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$575.44