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Washington, DC rates for HCPCS B4150

Enteral Formula Nutritionally Complete With Intact Nutrients Includes N Enteral Feeding Tube 100 Calories = 1 Unit (Special Coverage Instructions Apply. See Cim: 65-10 A

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $0.53 / $0.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.53 / $0.53
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.69 / $0.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.48 / $1.43