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Oregon 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
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.15 / $160.78 / $380.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $160.78 / $160.78