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In-Line Digestive Enzyme Cartridge for Enteral Feeding

Wisconsin rates for HCPCS B4105

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

Rates data updated July 2026.

Facilitymedian $513 · 10th–90th $148$7410%20%10th90th$513Professionalmedian $191 · 10th–90th $68$2340%20%10th90th$191$50.0$100.0$200.0$500.0$1.0K

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
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$50.12
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$512.86
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$204.17
Typical High
$234.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$575.44
Typical High
$575.44
Quartz
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$524.81
Typical High
$524.81
Quartz
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28