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Florida 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
$0.27 / $0.38 / $0.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.38 / $0.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.33
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $0.55 / $0.83
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.55 / $1.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.47 / $0.47